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 C0 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 C0 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 C0 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 C0 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 ischemic colitis bloating....... 2 100 bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 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 B8 XKYF More importantly, testing shoes after
082065 - being stretched to reduce lateral pressure on #1s and #5s, reported on
082066 - 260512 1548. ref SDS C1 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 -
082308 -
082309 -
082310 -
082311 -
082312 -
082313 -
082314 -
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 C0 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 ischemic colitis bloating....... 2 100 bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 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 C0 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://fhttps://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 C2 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 C2 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 C0 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 ischemic colitis bloating....... 2 100 bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 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 C0 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 C0 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 ischemic colitis bloating....... 4 60 bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 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 C2 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 -
083786 -
083787 -
083788 -
083789 -
083790 -
083791 -
083792 -
083793 -
083794 -
083795 -
083796 -
083797 -
083798 -
083799 -
083800 -
083801 -
083802 -
083803 -
083804 -
083805 -
083806 -
083807 -
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 C0 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 ischemic colitis bloating....... 4 60 bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 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 C2 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 C0 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 ischemic colitis bloating....... 4 60 bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 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 C3 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 C2 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 -
084911 -
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 -
084931 -
084932 -
084933 -
084934 -
084935 -
084936 -
084937 -
084938 -
084939 -
084940 -
084941 -
084942 -
084943 -
084944 -
084945 -
084946 -
084947 -
084948 -
084949 -
084950 -
084951 -
084952 -
084953 -
084954 -
084955 -
084956 -
084957 -
084958 -
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 C0 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 ischemic colitis bloating....... 3 60 bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 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 C2 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 C0 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 ischemic colitis bloating....... 3 60 bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 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 C2 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 C0 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 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
086047 - 0000... 10 60 Cyclobenzaprine sleep aid
086048 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
086049 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
086050 -
086052 - ..
086053 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to
086054 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
086056 - ..
086057 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
086058 - pain no longer in toes down to heels. Symptoms declined pins and
086059 - needles tingling in evening, when feet are elevated in reclining
086060 - chair. Restless legs has not occurred for awhile, maybe because
086061 - hiking has declined considerably.
086063 - ..
086064 - Pain medication limitations reported in case study on 200101 0701.
086065 - ref SDS 21 KS5O
086067 - ..
086068 - Reflux slept in bed after EGD dilation on 260421 0830. ref SDS C0 1X6F
086069 -
086071 - ..
086072 - Summary... hiked 18 miles testing Brooks Ghost shoes again with both
086073 - left and right shoes size 11 width 2E - there was less pressure and
086074 - pain both feet over entire hike, compared to yesterday, when left foot
086075 - had minimal pressure pain, and right foot had noticible pressure and
086076 - pain. Today, hike was easy at good pace with temp steady about 70,
086077 - and heavy cloud cover for 10 miles, then stopped for EKG, meds,
086078 - hydration and nutrition. In afternoon, cloud cover receded and
086079 - temperature increased to 95. This caused low energy sapped for
086080 - persperation.
086081 -
086082 -
086084 - ..
086085 - Pain Location Pain Level % of Hike
086086 - ----------------------------------------- ---------- ---------
086087 - Stomach pain ischemic colitis bloating....... 3 60 bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 08 miles, but increased by end of hike; temp 80 may have increased dysfunction ANS symptoms including bloating
086088 - 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
086089 - Hands cramping hurting - post hike........... 0 100 hands and thumbs cramping 2 hours after hike
086090 - Hands flinching post hike muscle spasms...... 0 100
086091 - Chest pain................................... 0 100 began about mile 8, taking Tramadol and Gabapenin mile 11helped
086092 - 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
086093 - Breathing ARDS............................... 0 100 difficulty breathing due to grade and length
086094 - Trapezius right side neck/shoulder........... 0 100 no recurrance today momentarily last half hike turning body and head left or right
086095 - Spine below neck lift left or right arm...... 0 100 did not occur today, but not a factor if head held steady
086096 - Neck turning head/chest left or right........ 0 100 episodes mile 18+ took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00
086097 - 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
086098 - Bicep tendon strain across elbow right arm... 0 100
086099 - 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
086100 - Hands sunburned itching rash................. 0 100 omitted sunblock today 260512, just forgot
086101 - Hip left..................................... 0 100 noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped
086102 - Back......................................... 0 100
086103 - Hip right.................................... 0 100
086104 - Shin splint pain both legs................... 0 100
086105 - Knee left skin lesions left side............. 0 100
086106 - 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
086107 - Knee left patalla...PRP 210705............... 0 100
086108 - Knee buckling left..PRP 191209.240108........ 0 100 began coming down Ygnacio Valley Road about mile 22 - intermittant
086109 - Knee left anterior cruciate ligament......... 0 100 same as knee buckling
086110 - Knee right cruciate ligament back of knee.... 0 100
086111 - 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
086112 - Achilees tendon right leg collaps/buckling... 0 100 did not recur today
086113 - Quadraceps both legs......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
086114 - Hamstring tendon left leg.PRP 210705......... 0 100
086115 - Hamstring left leg........................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
086116 - Hamstring right leg.......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
086117 - Calf left.................................... 0 100
086118 - Tailor's Bunion left foot.. PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
086119 - Tailor's Bunion right foot..PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
086120 - Plantar plate right foot..................... 0 100
086121 - Electric shocks middle 3 toes right foot..... 0 100 occurred intermittanly for minutes maybe twice
086122 - Metatarsalgia left foot...PRP 260403......... 0 100 PRP 260403 may be curing this injury
086123 - Metatarsalgia right foot..PRP 260403......... 0 100 PRP 260403 may be curing this injury
086124 - new Right foot fat pad below #3 & #4,,,,,,,,,,... 0 100 PRP 260403 may be curing this injury
086125 - 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
086126 - Planarfaciitis right foot..240213............. 0 100
086127 - Feet bottom soles hurt socks worn out........ 0 100
086128 - 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
086129 - Ankle left achilles heel on 220416........... 0 100 left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today
086130 - Ankle right pain on 200407 and 231203........ 0 100 xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal
086131 - Foot right possible fracture 200917......... 0 100 CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831
086132 - Hallux Valgus right foot..................... 0 100 seems stable despite hiking therapeutic miles
086133 - Cut big right foot........................... 0 100 Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316
086134 - 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.
086135 - Callus big toe right foot...PRP 210705....... 0 100 stable no pain for multiple months
086136 - Blister below big toe right foot............. 0 100
086137 - Blister below big toe left foot.............. 0 100 new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725
086138 - 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
086139 - 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
086140 - Blister forefoot toes right foot............. 0 100
086141 - 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
086142 - 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
086143 - 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
086144 - 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,
086145 - Blister ring toe left foot.new 240602........ 0 100 seems healed today on 240626
086146 - 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
086147 - 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
086148 - 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
086149 - Blister top foot at toe line left foot....... 0 100
086150 - 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??
086151 - 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
086152 - Blister top long and middle toes left foot... 0 100
086153 - 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
086154 - 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
086155 - Diabetes toes both feet inflamed, itch....... 0 100 Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms
086156 - 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
086157 - Peripheral neruopathy top left hand.......... 0 100 worse after 2 miles and calmed by mile 8
086158 - Peripheral neruopathy top right hand......... 0 100 worse after 2 miles and calmed by mile 8
086159 - new Veering left................................. 0 100 veering left about mile 15 last 5 miles
086160 - Veering right ............................... 0 100
086161 - Fall......................................... 0 100
086162 - Restless legs................................ 0 100
086163 - AFL...5th ablation on 231214................. 0 100 Polar shows no AFL entire hike
086164 - 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
086165 - Wasted - very fatigued....................... 0 100 and 2 hours good speed last 4 miles
086166 - Hiker's rash vasculitis.see 210618........... 0 100
086167 -
086168 -
086170 - ..
086171 - Shoes see case study on 200101 0701. ref SDS 21 SO4L Today, wore
086172 - Brooks Ghost size 11.0 width 2E, purchased on 161103 1410. ref SDS 12
086173 - 3D5L These shoes have a polyvinyl forefoot cover with woven gaps that
086174 - provide elastic ?give? to control lateral pressure and pain on
086175 - forefeet by loosely tightening the first three eyelets. Yesterday,
086176 - wore size 11 both feet, and had much less trauma. Decided to order
086177 - Hoka Bondi 9s size 11.5, since they are narrower than other shoes.
086179 - ..
086180 - Callus Injuries - today on 260707 did not bandage left foot #1 with
086181 - white tape, and did not apply Sport Shield. Worked well. Feet hurt
086182 - minimally entire hike, because forefoot cover of Brooks Ghost shoes
086183 - is a flexible, polyvinyl web material that is cinched with laces to
086184 - cause minumal lateral pressure on edges of forefeet.
086186 - ..
086187 - Socks see case study on 200101 0701. ref SDS 21 0S6N Wore 2 pair dual
086188 - ply Wrightsock socks.
086189 -
086190 -
086192 - ..
086193 - Concord 18 mile route - took Glucosamine Chondroitin for OA
086194 - protection, mainly left knee treated with PRP intra articular
086195 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,
086196 - and also left hip, which flares few times a month, but not for a few
086197 - weeks. Took 1 Naproxen 500 mg for pain management - there is no
086198 - metatarsalgia pain in feet starting the hike today, and both feet #1
086199 - and #5 calluses both PL 0 - were shaved down by Doctor Tang in VAMC
086200 - Podiatry on 260702 0830. ref SDS C2 5H6F Took 4 Magnesium Complex 300
086201 - mg pills for energy and absorbing lactic acid that enable hiking, and
086202 - reduce inflammation, all enabling HDL to increase, and together with
086203 - EPCs regress plaque in blood vessels - see research on 200101 0701,
086204 - ref SDS 21 QP6L Also took 2 CoQ10 capsules for energy, and took 2
086205 - Turmeric Curcumin 2250 mg pills that resolve inflammation for HDL to
086206 - rise. Swallowed pills separately and whole combined with small amount
086207 - avocado, mayonaise, peanut butter and margarine - pills slip through
086208 - LESV much better when swallowed combined with food in mouth. About 20
086209 - minutes later after dressing for hike, before starting hike took
086210 - liquid Turmeric Curcumin and Ubiquinol CoQ10 per above. ref SDS 0 SI8W
086211 - CoQ10 is an enzyme produced in the body that supports an electron
086212 - transport chain (ETC) giving human cells energy - see case study on
086213 - 200101 0701. ref SDS 21 136K No breakfast reduces bloating feeling
086214 - starting hike from ischemic colitis caused by taking statins and other
086215 - drugs, also symptomatic of diabetes, colitis and atrial fibrillation
086216 - (arrhythmia - variable heart rate) see case study on 200101 0701.
086217 - ref SDS 21 O33H Did not take backpack to carry stuff - good to build
086218 - conditioning for Half Dome - because extra weight increases pressure
086219 - on feet injuries. Hiked mile loop around the block to start hike,
086220 - which identifies bloating and feet wound issues that can be treated
086221 - back at the house before issues arise miles from home. Hiked Cuneo
086222 - .25 mile and turned left, onto Treat. Starting hike both feet less
086223 - pressure reflecting to wearing size 11 both feet, per above.
086224 - ref SDS 0 LS4W Feet feeling less swelled and like pins and needles -
086225 - did not feel electrical shocks in balls of feet this morning due to
086226 - peripheral neuropathy caused by statins, diabetes, and dysfunctional
086227 - ANS. Actually, these afflictions seem quiet the past week or so.
086228 - Bottom of both feet minor metatarsalgia pain - significant pain ( >5 )
086229 - both feet #1 and #5 has caused pausing hiking for injuries to heal
086230 - past 30 days, see case study on 200101 0701. ref SDS 21 BGZV Breathed
086231 - through nose entire hike with no dyspnea, indicating conditioning has
086232 - sustained, despite minimal hiking last few months. Temperature
086233 - started at 75, and reached 95. East wind 08 mph and mostly 4 mph,
086234 - which was cooling. Continued East on Treat .5 miles. Turned right
086235 - hiking South on asphalt shoulder of Turtle Creek Road for 1.5 miles
086236 - mostly flat grade, some places 3% uphill, and very light traffic. Did
086237 - not hike across Newhall Community park and back today. Continued on
086238 - Turtle Creek Road uphill 4% grade. At end of Turtle Creek Road turned
086239 - left onto Ayers hiking East .75 miles on asphalt road shoulder. At
086240 - mile 3, turned right onto Clayton Road hiking South .5 miles on
086241 - asphalt pavement in parking lots of shopping complex. Did not stop at
086242 - Lucky store to buy banana with potassium that complements meds for
086243 - energy, and makes swallowing meds easier, because brought banana from
086244 - house today. Crossed Alberto Way at traffic light and continued on
086245 - concrete sidewalk .5 miles. Energy good - did not need to stop at
086246 - mile 4 time ____ in Mountain Mike's Pizza restaurant to take meds for
086247 - energy to hike. Turned right hiking West on Ygnacio Valley Road using
086248 - concrete sidewalk .5 miles. Continued hike crossing Park Highlands
086249 - Road at Stop Light and heading West .25 miles on asphalt shoulder.
086250 - Crossed to South side Ygnacio Valley Road hiking on wider shoulder.
086251 - Continued West past Stop Light at Michigan Boulevard. Hiked another
086252 - .25 miles to Chevron gas station and store. At mile 7, turned left
086253 - onto Pine Hollow. Hiked East 1.25 miles and turned around at Pine
086254 - Hollow Middle School. Hiked back to Ygnacio Valley Road. Stopped at
086255 - Chevron gas station store mile 10 time 1154 temp 83 and wind 03 mph;
086256 - EKG looks uniform with considerable artifact. Kardia reported HR 113
086257 - Tachycardia, - see below. ref SDS 0 3OCT Bloating PL 2, both feet
086258 - metatarsalgia PL 2. Left foot #1 PL 1 and #5 PL 5. Right foot #5 PL
086259 - 2; top of #3, #4, #5 PL 2, top 345 PL 0, wearing size 11 both feet,
086260 - correcting error wearing size 10 right foot yesterday. Took 1
086261 - Naproxen 500 mg total today 2 for pain. Took 4 Magnesium complex 300
086262 - mg pills - total today 8 - for energy, absorbing lactic acid, per
086263 - research on 200101 0701. ref SDS 21 QP6L Took 2 Turmeric Curcumin
086264 - 2250 mg - total today 4 - to reduce inflammation. Took 2 CoQ10 pills
086265 - - total today 4 - to increase energy. Sips softdrink purchased from
086266 - Chev store for hydration and swallowing nutrition - banana brought
086267 - from home - enables swallowing medication pills combined with bites of
086268 - banana to slip through LESV now contracted due to achalasia, pending
086269 - dilation procedure scheduled on 260821. Took Ubiquinol CoQ10 0.6 ml
086270 - liquid for HDL and energy to continue hike. Did not take Nuun
086271 - electrolyte pill - all per above. ref SDS 0 FU8Y Continued hike on
086272 - Pine Hollow 2.50 miles East. At end of road beyond Diablo Elementary
086273 - School turned around hiked back to Ygnacio Valley Road. About mile
086274 - 15, turned left onto Campus Drive hiking 1 mile West uphill 3% grade
086275 - against wind 03 mph. The road bends North. Turned left heading West
086276 - on Ygnacio Valley road .50 mile. At Crystal Ranch Road, hiked uphill
086277 - .5 mile, 3% grade against wind 02 mph - temp 95. Turned right onto
086278 - Cowell, going 1 mile downhill. Turned left onto Treat for .25 mile;
086279 - turned right on Cunio and home. Ended hike mile 18 time 1500 temp 95,
086280 - wind 02, bloating PL 4, energy deficit 3, feet metatarsalgia PL 2,
086281 - left foot #1 edge PL 2, #5 edge PL 4, right foot #1 PL 0, #5 PL 2, top
086282 - #3, 4, 5 blistering PL 0, burning sensation PL 0. EKG sinus with
086283 - considerable artifact, Kardia reported HR 122 Tachycardia - see below.
086284 - ref SDS 0 8Z6E
086285 -
086286 -
086287 -
086288 -
086289 -
086290 -
086291 -
086292 -
086293 -
086294 -
086296 - ..
086297 - Kardia recorded HR 053 at 1030, Unclassified, looks mostly variable
086298 - heart beat lengths with p-waves and moderate artifact, likely no AFL
086299 - after hiking 18 miles temp 95 yesterday, per above, ref SDS 0 SI8W,
086300 - and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely
086301 - arising from dysfuncational ANS following 6th ablation on 240611,
086302 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H Medical
086303 - history case study on 200101 0701. ref SDS 21 TSYT
086304 -
086305 -
086306 - pix: 950 450
086307 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260715-ecg-103007_mile_00_069_ucl_vrbl.pdf
086308 -
086309 -
086310 -
086312 - ..
086313 - Polar HR GPS study *** low accuracy GPS used *** in Concord,
086314 - California, hike 18 miles with max temperature 95, - Medical history
086315 - case study on 200101 0701. ref SDS 21 118K
086316 -
086317 - ..
086318 - x
086319 - Reported Samsung GPS mileage...
086320 - x x 1 z yyt A
086321 - x x x 1
086322 - 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
086323 - 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
086324 - 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
086325 - 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
086326 - 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
086327 - 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
086328 - 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
086329 - 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
086330 -
086331 -
086332 -
086333 - https://flow.polar.com/training/analysis/8378444331
086334 -
086336 - ..
086338 -
086339 -
086340 -
086341 -
086342 -
086344 - ..
086345 - EKG at mile 10 time 1133, HR 107 temp 77, wind 03; Kardia reported
086346 - Tachycardia... heart rate looks mostly uniform with considerable
086347 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT
086348 -
086349 -
086350 - pix: 950 450
086351 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260713-ecg-115452_mile_10_113_tcy_unfm.pdf
086352 -
086353 -
086355 - ..
086356 - End hike EKG at mile 18, time 1500 HR 122 temp 95, wind 03 - Kardia
086357 - reported Tachycardia... looks sinus mostly uniform with minimal
086358 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT
086359 -
086360 -
086361 - pix: 950 450
086362 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260713-ecg-150001_mile_18_122_tcy_unfm.pdf
086363 -
086364 -
086365 -
086366 -
086368 - ..
086369 - Post hike HR profile beginning 2035, aligns with indoor activity after
086370 - hiking 00 miles with temperature __, and showing no continuous
086371 - extended period steady elevated HR > 130, indicates no AFL, and no
086372 - possible atrial fibrillation, and after stopping Apixaban on 240711,
086373 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
086374 - patient history on 200101 0701. ref SDS 21 TSYT
086375 -
086377 - ..
086378 - 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
086379 - 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
086380 - 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
086381 - 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
086382 - 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
086383 - 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
086384 -
086385 -
086386 -
086387 -
086388 -
086389 - https://flow.polar.com/training/analysis/8380091110
086391 - ..
086392 - HRV seems 20% 0 and 40% good and 40% poor overnight Polar HR report...
086393 -
086394 -
086396 - 
086397 -
086399 - ..
086400 - Breakfast -
086401 - Lunch - hamburger
086402 - Dinner - steak potato onion brocolli
086404 - ..
086405 - Vomiting: 0% dinner - bloating PL 4 - same today in morning
086406 -
086407 -
086408 -
086409 -
086410 -
086411 -
086412 -
086413 -
086414 -
086415 -
086416 -
086417 -
086418 -
086419 -
086420 -
086421 -
086422 -
086423 -
086424 -
086425 -
086426 -
086427 -
086428 -
086429 -
086430 -
086431 -
086432 -
086433 -
086434 -
086435 -
086436 -
086437 -
086438 -
086439 -
086440 -
086441 -
086442 -
086444 - ..
086445 - H I K I N G
086446 - M E D I C A T I O N Miles Time V I T A L S
086447 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
086448 - ====================================================================================
086449 - Thursday
086450 - 132. 260716 0730............................................. summary vitals, ref SDS 21 9HIW
086451 - 0735....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
086452 - 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
086453 - 0740....BP HR..................................................... 169 78 47 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
086454 - 0745....BP HR..................................................... 175 52 53
086455 - 0750....BP HR..................................................... 157 83 49
086456 - 0755....weight.................................... 186
086457 - 0920....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
086458 - 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
086459 - 0920... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
086460 - 0920....Avocado to increase HDL - 1/4th
086461 - 0920....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)
086462 - 0920....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N
086463 - 0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL
086464 - 1005....Naproxen 500 mg took 1 pill
086465 - 1005... 05 CoQ10 Ubiquinol Liquid - increases energy
086466 - 1005....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses
086467 - 0000...
086468 - ..
086469 - 1008....miles........... 15.0 33.0 240 1192 minutes temp 88 wind 12 rain 0% light
086470 - 0000....................................................
086471 - 0000....mile 10 stopped EKG ... banana potassium and aids swallowing medication pills slip through contracted LESV
086472 - 0000....Naproxen 5 500 mg took 1 pill
086473 - 0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
086474 - 0000... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
086475 - 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
086476 - 0000... Nuun Electrolytes Pill
086477 - 0000... 20 4060 CoQ10 Ubiquinol Liquid
086478 - 0000....................................................
086479 - 1421... Hike ends mile 15... ref SDS 0 JYCV
086480 - 0000...
086481 - 1430....weight.................................... 182 lost 4#
086482 - 1435....BP HR..................................................... 128 76 109
086483 - 1441....BP HR..................................................... 131 74 105
086484 - 1446....BP HR..................................................... 132 80 102
086485 - 0000...
086486 - ..
086487 - 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
086488 - 0000............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
086489 - 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
086490 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
086491 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
086492 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
086493 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
086494 - 0000... 10 60 Cyclobenzaprine sleep aid
086495 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
086496 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
086497 -
086499 - ..
086500 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to
086501 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
086503 - ..
086504 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
086505 - pain no longer in toes down to heels. Symptoms declined pins and
086506 - needles tingling in evening, when feet are elevated in reclining
086507 - chair. Restless legs has not occurred for awhile, maybe because
086508 - hiking has declined considerably.
086510 - ..
086511 - Pain medication limitations reported in case study on 200101 0701.
086512 - ref SDS 21 KS5O
086514 - ..
086515 - Reflux slept in recliner chair again last night, after EGD dilation on
086516 - 260421 0830. ref SDS C0 1X6F
086517 -
086519 - ..
086520 - Summary... before starting had difficulty swallowing nutrition,
086521 - hydration and medication for hiking. Did test hike around the block 1
086522 - mile. Continued completing 15 miles wearing Brooks Ghost shoes with
086523 - moderate pain, pending receiving new Hoka shoes that avoid pain
086524 - scheduled for delivery OA 260718. Temperature dropped into 80s, after
086525 - being 100 past few days. Forgot to bring wallet, so hiked without
086526 - stopping for EKG, meds, hydration and nutrition, limiting distance to
086527 - 15 miles, and did not hike at college to use exercise station.
086528 -
086529 -
086531 - ..
086532 - Pain Location Pain Level % of Hike
086533 - ----------------------------------------- ---------- ---------
086534 - Stomach pain ischemic colitis bloating....... 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
086535 - 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
086536 - Hands cramping hurting - post hike........... 0 100 hands and thumbs cramping 2 hours after hike
086537 - Hands flinching post hike muscle spasms...... 0 100
086538 - Chest pain................................... 0 100 began about mile 8, taking Tramadol and Gabapenin mile 11helped
086539 - 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
086540 - Breathing ARDS............................... 0 100 difficulty breathing due to grade and length
086541 - Trapezius right side neck/shoulder........... 0 100 no recurrance today momentarily last half hike turning body and head left or right
086542 - Spine below neck lift left or right arm...... 0 100 did not occur today, but not a factor if head held steady
086543 - Neck turning head/chest left or right........ 0 100 episodes mile 18+ took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00
086544 - 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
086545 - Bicep tendon strain across elbow right arm... 0 100
086546 - 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
086547 - Hands sunburned itching rash................. 0 100 omitted sunblock today 260512, just forgot
086548 - Hip left..................................... 0 100 noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped
086549 - Back......................................... 0 100
086550 - Hip right.................................... 0 100
086551 - Shin splint pain both legs................... 0 100
086552 - Knee left skin lesions left side............. 0 100
086553 - 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
086554 - Knee left patalla...PRP 210705............... 0 100
086555 - Knee buckling left..PRP 191209.240108........ 0 100 began coming down Ygnacio Valley Road about mile 22 - intermittant
086556 - Knee left anterior cruciate ligament......... 0 100 same as knee buckling
086557 - Knee right cruciate ligament back of knee.... 0 100
086558 - 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
086559 - Achilees tendon right leg collaps/buckling... 0 100 did not recur today
086560 - Quadraceps both legs......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
086561 - Hamstring tendon left leg.PRP 210705......... 0 100
086562 - Hamstring left leg........................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
086563 - Hamstring right leg.......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
086564 - Calf left.................................... 0 100
086565 - Tailor's Bunion left foot.. PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
086566 - Tailor's Bunion right foot..PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
086567 - Plantar plate right foot..................... 0 100
086568 - Electric shocks middle 3 toes right foot..... 0 100 occurred intermittanly for minutes maybe twice
086569 - Metatarsalgia left foot...PRP 260403......... 0 100 PRP 260403 may be curing this injury
086570 - Metatarsalgia right foot..PRP 260403......... 0 100 PRP 260403 may be curing this injury
086571 - new Right foot fat pad below #3 & #4,,,,,,,,,,... 0 100 PRP 260403 may be curing this injury
086572 - 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
086573 - Planarfaciitis right foot..240213............. 0 100
086574 - Feet bottom soles hurt socks worn out........ 0 100
086575 - 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
086576 - Ankle left achilles heel on 220416........... 0 100 left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today
086577 - Ankle right pain on 200407 and 231203........ 0 100 xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal
086578 - Foot right possible fracture 200917......... 0 100 CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831
086579 - Hallux Valgus right foot..................... 0 100 seems stable despite hiking therapeutic miles
086580 - Cut big right foot........................... 0 100 Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316
086581 - Callus big toe left foot...PRP 210705........ 2 100 decreased from PL 4 - still pending peel large section after taking Turmeric Curcumin
086582 - Callus big toe right foot...PRP 210705....... 0 100 peeled large callus just before hike - stable no pain for multiple months
086583 - Blister below big toe right foot............. 0 100
086584 - Blister below big toe left foot.............. 0 100 new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725
086585 - 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
086586 - 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
086587 - Blister forefoot toes right foot............. 0 100
086588 - 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
086589 - 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
086590 - 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
086591 - 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,
086592 - Blister ring toe left foot.new 240602........ 0 100 seems healed today on 240626
086593 - 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
086594 - Callus little toe #5 left foot...PRP 210705.. 3 40 wore old Brooks Ghost x-wide shoes and 2 pair double ply socks
086595 - 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
086596 - Blister top foot at toe line left foot....... 0 100
086597 - 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??
086598 - 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
086599 - Blister top long and middle toes left foot... 0 100
086600 - 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
086601 - 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
086602 - Diabetes toes both feet inflamed, itch....... 0 100 Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms
086603 - 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
086604 - Peripheral neruopathy top left hand.......... 0 100 worse after 2 miles and calmed by mile 8
086605 - Peripheral neruopathy top right hand......... 0 100 worse after 2 miles and calmed by mile 8
086606 - Veering left................................. 0 100 veering left about mile 15 last 5 miles
086607 - Veering right ............................... 0 100
086608 - Fall......................................... 0 100
086609 - Restless legs................................ 0 100
086610 - AFL...5th ablation on 231214................. 0 100 Polar shows no AFL entire hike
086611 - 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
086612 - Wasted - very fatigued....................... 0 100 and 2 hours good speed last 4 miles
086613 - Hiker's rash vasculitis.see 210618........... 0 100
086614 -
086615 -
086617 - ..
086618 - Shoes see case study on 200101 0701. ref SDS 21 SO4L Today, wore
086619 - Brooks Ghost size 11.0 width 2E, purchased on 161103 1410. ref SDS 12
086620 - 3D5L These shoes have a polyvinyl forefoot cover with woven gaps that
086621 - provide elastic ?give? to control lateral pressure and pain on
086622 - forefeet by loosely tightening the first three eyelets. Seems less
086623 - lateral pressure both feet #1s and #5s; more pressure bottom of feet
086624 - causing metatarsalgia. Pending delivery 2 pair Hoka shoes with
086625 - greater cushioning that may relieve matatarsalgia and might be wider
086626 - at size 11.5 to reduce lateral pressure.
086628 - ..
086629 - Callus Injuries - today on 260716 large callus right foot #1 edge came
086630 - nearly completely loose. Used cutting tool to remove it. Applied
086631 - Sport Shield.
086633 - ..
086634 - Socks see case study on 200101 0701. ref SDS 21 0S6N Wore 2 pair dual
086635 - ply Wrightsock socks.
086636 -
086637 -
086639 - ..
086640 - Concord 15 mile route - took Glucosamine Chondroitin for OA
086641 - protection, mainly left knee treated with PRP intra articular
086642 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,
086643 - and also left hip, which flares few times a month, but not for a few
086644 - weeks. Took 1 Naproxen 500 mg for pain management - there is no
086645 - metatarsalgia pain in feet starting the hike today, and both feet #1
086646 - and #5 calluses both PL 0 - were shaved down by Doctor Tang in VAMC
086647 - Podiatry on 260702 0830. ref SDS C2 5H6F Took 4 Magnesium Complex 300
086648 - mg pills for energy and absorbing lactic acid both enable hiking
086649 - longer distance. Magnesium also reduces inflammation, all enabling
086650 - HDL to increase, which, together with increased EPCs, regress plaque
086651 - in blood vessels - see research on 200101 0701, ref SDS 21 QP6L Also
086652 - took 2 CoQ10 capsules for energy, and took 2 Turmeric Curcumin 2250 mg
086653 - pills that prevent inflammation, which enables HDL to rise. Swallowed
086654 - pills separately and whole combined with small amount avocado,
086655 - mayonaise, peanut butter and margarine - pills slip through LESV much
086656 - better when swallowed combined with food in mouth. About 20 minutes
086657 - later after dressing for hike, before starting took liquid Turmeric
086658 - Curcumin and Ubiquinol CoQ10 per above. ref SDS 0 SI8W CoQ10 is an
086659 - enzyme produced in the body that supports an electron transport chain
086660 - (ETC) giving human cells energy - see case study on 200101 0701.
086661 - ref SDS 21 136K No breakfast reduces bloating feeling starting hike
086662 - from ischemic colitis caused by taking statins and other drugs, also
086663 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -
086664 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H
086665 - Did not take backpack to carry stuff - good to build conditioning for
086666 - Half Dome - because extra weight increases pressure on feet injuries.
086667 - Hiked mile loop around the block to start hike, which identifies
086668 - bloating and feet wound issues that can be treated back at the house
086669 - before problems arise miles from home. Hiked Cuneo .25 mile and
086670 - turned left, onto Treat. Starting hike both feet less pressure
086671 - reflecting switch to size 11 shoes, per above. ref SDS 0 LS4W Feet
086672 - feeling less swelled and like pins and needles - did not feel
086673 - electrical shocks in balls of feet this morning due to peripheral
086674 - neuropathy caused by statins, diabetes, and dysfunctional ANS.
086675 - Actually, these afflictions seem quiet the past week or so. Bottom of
086676 - both feet minor metatarsalgia pain - significant pain ( >5 ) both feet
086677 - #1 and #5 has caused pausing hiking for injuries to heal past 30 days,
086678 - see case study on 200101 0701. ref SDS 21 BGZV Breathed through nose
086679 - entire hike with no dyspnea, indicating conditioning has sustained,
086680 - despite minimal hiking last few months. Temperature started at 75,
086681 - and reached 95. East wind 08 mph and mostly 4 mph, which was cooling.
086682 - Continued East on Treat .5 miles. Turned right hiking South on
086683 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,
086684 - some places 3% uphill, and very light traffic. At 1107 called VAMC
086685 - Sacramento GI Clinic. Talked to Hazel. She said Gracie is with a
086686 - patient and will call back. Did not hike across Newhall Community
086687 - park and back today. Continued on Turtle Creek Road uphill 4% grade.
086688 - At end of Turtle Creek Road turned left onto Ayers hiking East .75
086689 - miles on asphalt road shoulder. At mile 3, turned right onto Clayton
086690 - Road hiking South .5 miles on asphalt pavement in parking lots of
086691 - shopping complex. Did not stop at Lucky store to buy banana with
086692 - potassium that complements meds for energy, and makes swallowing meds
086693 - easier, because brought banana from home today. Crossed Alberto Way
086694 - at traffic light and continued on concrete sidewalk .5 miles. Energy
086695 - good - did not need to stop at mile 4 time ____ in Mountain Mike's
086696 - Pizza restaurant to take meds for energy to hike. Turned right hiking
086697 - West on Ygnacio Valley Road using concrete sidewalk .5 miles.
086698 - Continued hike crossing Park Highlands Road at Stop Light and heading
086699 - West .25 miles on asphalt shoulder. Crossed to South side Ygnacio
086700 - Valley Road hiking on wider shoulder. Continued West past Stop Light
086701 - at Michigan Boulevard. Hiked another .25 miles to Chevron gas station
086702 - and store. At mile 7, turned left onto Pine Hollow. Hiked East 1.5
086703 - miles - past Pine Hollow Middle at Indiana Drive, turned around.
086704 - Hiked back to Ygnacio Valley Road. Forgot to bring wallet with credit
086705 - card, so did not stop a Chevron store for hydration, nutrition and
086706 - medication. Continued on Campus Drive 1 mile West uphill 3% grade
086707 - against wind 08 mph. The road bends North. Turned left heading West
086708 - on Ygnacio Valley road .50 mile; turned left hiking South on Crystal
086709 - Ranch Road uphill .25 mile, 5% grade. Turned around and hiked back.
086710 - Continued West on Ygnacio Valley Road 3% grade uphill against wind 12
086711 - mph - temp 88. At summit turned around mile 13, hiked back .5 mile.
086712 - Turned left hiking North on Cowell, 1 mile downhill 5% grade. Turned
086713 - left onto Treat for .25 mile; turned right on Cunio and home. Ended
086714 - hike mile 15 time 1421 temp 88, wind 12 mph, bloating PL 4, energy
086715 - deficit 0, feet metatarsalgia PL 2, left foot #1 edge PL 1, #5 edge PL
086716 - 4, right foot #1 PL 0, #5 PL 4, top #3, 4, 5 blistering PL 2, burning
086717 - sensation PL 0. EKG sinus with minimal artifact, Kardia reported HR
086718 - 120 Tachycardia - see below. ref SDS 0 JYCV
086719 -
086720 -
086721 -
086722 -
086723 -
086724 -
086725 -
086726 -
086728 - ..
086729 - Kardia recorded HR 045 at 0751, Possible Atrial Fibrillation, looks
086730 - mostly variable heart beat lengths with p-waves and moderate artifact,
086731 - likely no AFL after hiking 00 miles temp __ yesterday, per above,
086732 - ref SDS 0 DB4P, and diagnosed ischemic colitis on 200612 0700,
086733 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th
086734 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.
086735 - ref SDS 73 NA4H Medical history case study on 200101 0701.
086736 - ref SDS 21 TSYT
086737 -
086738 -
086739 - pix: 950 450
086740 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260716-ecg-075150_mile_00_045_paf_vrbl.pdf
086741 -
086742 -
086743 -
086745 - ..
086746 - Polar HR GPS study *** low accuracy GPS used *** in Concord,
086747 - California, hike 15 miles with max temperature 88, - Medical history
086748 - case study on 200101 0701. ref SDS 21 118K
086749 -
086750 - ..
086751 - x
086752 - Reported Samsung GPS mileage...
086753 - x x 1 z yyt A
086754 - x x x 1
086755 - 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
086756 - 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
086757 - 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
086758 - 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
086759 - 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
086760 - 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
086761 - 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
086762 - 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
086763 -
086764 -
086765 -
086766 - https://flow.polar.com/training/analysis/8380349364
086767 -
086769 - ..
086771 - 
086772 -
086773 -
086775 - ..
086776 - End hike EKG at mile 15, time 1421 HR 122 temp 88, wind 12 - Kardia
086777 - reported Tachycardia... looks sinus mostly uniform with minimal
086778 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT
086779 -
086780 -
086781 - pix: 950 450
086782 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260716-ecg-142133_mile_15_120_tcy_unfm.pdf
086783 -
086784 -
086785 -
086786 -
086788 - ..
086789 - Post hike HR profile beginning 1958, aligns with indoor activity after
086790 - hiking 15 miles with temperature 88, and showing no continuous
086791 - extended period steady elevated HR > 130, indicates no AFL, and no
086792 - possible atrial fibrillation, and after stopping Apixaban on 240711,
086793 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
086794 - patient history on 200101 0701. ref SDS 21 TSYT
086795 -
086797 - ..
086798 - 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
086799 - 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
086800 - 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
086801 - 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
086802 - 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
086803 - 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
086804 -
086805 -
086806 -
086807 -
086808 -
086809 -
086810 - https://flow.polar.com/training/analysis/8380733609
086811 - ..
086812 - HRV seems 10% 0 and 40% good and 50% poor overnight Polar HR report...
086813 -
086814 -
086816 - 
086817 -
086819 - ..
086820 - Breakfast - avocado mayo margarine peanut butter with medications, see above. ref SDS 0 DLHR
086821 - Lunch -
086822 - Dinner - steak potato onion brocolli
086824 - ..
086825 - Vomiting: 20% dinner - bloating PL 5 - worse today in morning
086826 -
086827 -
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 -
086866 - ..
086867 - H I K I N G
086868 - M E D I C A T I O N Miles Time V I T A L S
086869 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
086870 - ====================================================================================
086871 - Friday
086872 - 132. 260717 0715............................................. summary vitals, ref SDS 21 9HIW
086873 - 0715....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
086874 - 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
086875 - 0720....BP HR..................................................... 167 69 46 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
086876 - 0725....BP HR..................................................... 164 80 64
086877 - 0730....BP HR..................................................... 165 68 70
086878 - 0735....weight.................................... 186
086879 - 0735....Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
086880 - 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
086881 - 0000...
086882 - ..
086883 - 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
086884 - 0000............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
086885 - 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
086886 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
086887 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
086888 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
086889 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
086890 - 0000... 10 60 Cyclobenzaprine sleep aid
086891 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
086892 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
086893 -
086895 - ..
086896 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to
086897 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
086899 - ..
086900 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
086901 - pain no longer in toes down to heels. Symptoms declined pins and
086902 - needles tingling in evening, when feet are elevated in reclining
086903 - chair. Restless legs has not occurred for awhile, maybe because
086904 - hiking has declined considerably.
086906 - ..
086907 - Pain medication limitations reported in case study on 200101 0701.
086908 - ref SDS 21 KS5O
086910 - ..
086911 - Reflux slept in bed, after EGD dilation on 260421 0830. ref SDS C0
086912 - 1X6F
086913 -
086914 -
086915 -
086917 - ..
086918 - Kardia recorded HR 047 at 0939, Possible Atrial Fibrillation, looks
086919 - mostly variable heart beat lengths with p-waves and some initial
086920 - artifact, likely no AFL after hiking 15 miles temp __ yesterday, per
086921 - above, ref SDS 0 DLHR, and diagnosed ischemic colitis on 200612 0700,
086922 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th
086923 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.
086924 - ref SDS 73 NA4H Medical history case study on 200101 0701.
086925 - ref SDS 21 TSYT
086926 -
086927 -
086928 - pix: 950 450
086929 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260717-ecg-093938_mile_00_047_paf_vrbl.pdf
086930 -
086931 -
086932 -
086933 -
086935 - ..
086936 - Post hike HR profile beginning 1959, aligns with indoor activity after
086937 - hiking 0 miles with temperature __, and showing no continuous
086938 - extended period steady elevated HR > 130, indicates no AFL, and no
086939 - possible atrial fibrillation, and after stopping Apixaban on 240711,
086940 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
086941 - patient history on 200101 0701. ref SDS 21 TSYT
086942 -
086944 - ..
086945 - 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
086946 - 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
086947 - 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
086948 - 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
086949 - 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
086950 - 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
086951 -
086952 -
086953 -
086954 -
086955 -
086956 - https://flow.polar.com/training/analysis/8381294532
086958 - ..
086959 - HRV seems 0% 0 and 40% good and 60% poor overnight Polar HR report...
086960 -
086962 - 
086963 -
086964 -
086966 - ..
086967 - Breakfast - eggs toast avocado
086968 - Lunch -
086969 - Dinner - macaroni cheese steak onion brocolli tomato
086971 - ..
086972 - Vomiting: 0% dinner - bloating PL 5 - same today in morning
086973 -
086974 -
086975 -
086976 -
086977 -
086978 -
086979 -
086980 -
086981 -
086982 -
086983 -
086984 -
086985 -
086986 -
086987 -
086988 -
086989 -
086990 -
086991 -
086992 -
086993 -
086994 -
086995 -
086996 -
086997 -
086998 -
087000 - ..
087001 - H I K I N G
087002 - M E D I C A T I O N Miles Time V I T A L S
087003 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
087004 - ====================================================================================
087005 - Saturday
087006 - 132. 260718 0635............................................. summary vitals, ref SDS 21 9HIW
087007 - 0635....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
087008 - 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
087009 - 0640....BP HR..................................................... 168 67 47 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
087010 - 0645....BP HR..................................................... 154 78 58
087011 - 0650....BP HR..................................................... 150 83 52
087012 - 0655....weight.................................... 186
087013 - 0655....Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
087014 - 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
087015 - 0000...
087016 - ..
087017 - 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
087018 - 0000............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
087019 - 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
087020 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
087021 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
087022 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
087023 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
087024 - 0000... 10 60 Cyclobenzaprine sleep aid
087025 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
087026 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
087027 -
087029 - ..
087030 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to
087031 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
087033 - ..
087034 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
087035 - pain no longer in toes down to heels. Symptoms declined pins and
087036 - needles tingling in evening, when feet are elevated in reclining
087037 - chair. Restless legs has not occurred for awhile, maybe because
087038 - hiking has declined considerably.
087040 - ..
087041 - Pain medication limitations reported in case study on 200101 0701.
087042 - ref SDS 21 KS5O
087044 - ..
087045 - Reflux slept in recliner chair again last night, after EGD dilation on
087046 - 260421 0830. ref SDS C0 1X6F
087047 -
087048 -
087049 -
087051 - ..
087052 - Kardia recorded HR 047 at 1004, Unclassified, looks mostly variable
087053 - heart beat lengths with p-waves and some initial artifact, likely no
087054 - AFL after hiking 00 miles temp __ yesterday, per above, ref SDS 0
087055 - FKR6, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,
087056 - likely arising from dysfuncational ANS following 6th ablation on
087057 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H
087058 - Medical history case study on 200101 0701. ref SDS 21 TSYT
087059 -
087060 -
087061 - pix: 950 450
087062 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260718-ecg-100407_mile_00_051_ucl_unfm.pdf
087063 -
087064 -
087066 - ..
087067 - Post hike HR profile beginning 2113, aligns with indoor activity after
087068 - hiking 0 miles with temperature __, and showing no continuous
087069 - extended period steady elevated HR > 130, indicates no AFL, and no
087070 - possible atrial fibrillation, and after stopping Apixaban on 240711,
087071 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
087072 - patient history on 200101 0701. ref SDS 21 TSYT
087073 -
087075 - ..
087076 - 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
087077 - 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
087078 - 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
087079 - 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
087080 - 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
087081 - 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
087082 -
087083 -
087084 -
087085 -
087086 -
087087 - https://flow.polar.com/training/analysis/8381827793
087089 - ..
087090 - HRV seems 10% 0 and 20% good and 70% poor overnight Polar HR report...
087091 -
087093 - 
087094 -
087095 -
087097 - ..
087098 - Breakfast - eggs toast avocado
087099 - Lunch -
087100 - Dinner - macaroni cheese steak onion brocolli tomato
087102 - ..
087103 - Vomiting: 0% dinner - bloating PL 3 - better today in morning
087104 -
087105 -
087106 -
087107 -
087108 -
087109 -
087110 -
087111 -
087112 -
087113 -
087114 -
087115 -
087116 -
087117 -
087118 -
087119 -
087120 -
087121 -
087122 -
087123 -
087124 -
087125 -
087126 -
087127 -
087128 -
087129 -
087130 -
087131 -
087133 - ..
087134 - H I K I N G
087135 - M E D I C A T I O N Miles Time V I T A L S
087136 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
087137 - ====================================================================================
087138 - Sunday
087139 - 132. 260719 0510............................................. summary vitals, ref SDS 21 9HIW
087140 - 0510....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
087141 - 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
087142 - 0520....BP HR..................................................... 164 79 50 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
087143 - 0525....BP HR..................................................... 173 78 54
087144 - 0530....BP HR..................................................... 167 75 43
087145 - 0535....weight.................................... 187
087146 - 0615....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
087147 - 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
087148 - 0615... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
087149 - 0600....Avocado to increase HDL - 1/4th
087150 - 0600....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)
087151 - forgot 0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N
087152 - 0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL
087153 - 0600....Naproxen 500 mg took 1 pill
087154 - 0600... 05 CoQ10 Ubiquinol Liquid - increases energy
087155 - 0600....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses
087156 - 0000...
087157 - ..
087158 - 0738....miles........... 23.0 56.0 387 1192 minutes temp 85 wind 12 rain 0% light
087159 - 0000....................................................
087160 - 0000....mile 12 stopped EKG ... banana potassium and aids swallowing medication pills slip through contracted LESV
087161 - 0000....Naproxen 5 500 mg took 1 pill
087162 - 0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
087163 - 0000... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
087164 - 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
087165 - 0000... Nuun Electrolytes Pill
087166 - 0000... 20 4060 CoQ10 Ubiquinol Liquid
087167 - 0000....................................................
087168 - 1421... Hike ends mile 15... ref SDS 0 JYCV
087169 - 0000...
087170 - 1515....weight.................................... 181 lost 6#
087171 - 1520....BP HR..................................................... 115 71 105
087172 - 1539....BP HR..................................................... 104 65 90
087173 - 1555....BP HR..................................................... 93 59 87
087174 - 0000...
087175 - ..
087176 - 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
087177 - 1830............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
087178 - 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
087179 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
087180 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
087181 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
087182 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
087183 - 0000... 10 60 Cyclobenzaprine sleep aid
087184 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
087185 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
087186 -
087188 - ..
087189 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to
087190 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
087192 - ..
087193 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
087194 - pain no longer in toes down to heels. Symptoms declined pins and
087195 - needles tingling in evening, when feet are elevated in reclining
087196 - chair. Restless legs has not occurred for awhile, maybe because
087197 - hiking has declined considerably.
087199 - ..
087200 - Pain medication limitations reported in case study on 200101 0701.
087201 - ref SDS 21 KS5O
087203 - ..
087204 - Swallowing - before starting hike difficult injesting medication
087205 - pills with few bites avocado, mayonaise, margarine and peanut butter.
087206 - After hike had to extend time to swallow food to several hours.
087208 - ..
087209 - Reflux slept in recliner chair again last night, after EGD dilation on
087210 - 260421 0830. ref SDS C0 1X6F
087211 -
087213 - ..
087214 - Summary... before starting had difficulty swallowing nutrition,
087215 - hydration and medication for hiking. Temperature 10 degress lower
087216 - than lately, especially morning made hike easier to tolerate. Did
087217 - test hike around the block 1 mile. Wore new Hoka model Gaviota 6
087218 - shoes larger size 11.5 extra wide seems less traumatic than Bondi 9
087219 - size 10.5 extra wide. Just before starting hike was able to peel
087220 - large callus from left foot #1 edge, which has caused pain for months.
087221 - Tore some native tissue. Applied bandage. This was only partially
087222 - successfu. By mile 12, pain prevented completing planned 30 mile
087223 - hike.
087224 -
087225 -
087227 - ..
087228 - Pain Location Pain Level % of Hike
087229 - ----------------------------------------- ---------- ---------
087230 - Stomach pain ischemic colitis bloating....... 3 60 bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 08 miles, but increased by end of hike; temp 88 may have increased dysfunction ANS symptoms including bloating
087231 - 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
087232 - Hands cramping hurting - post hike........... 0 100 hands and thumbs cramping 2 hours after hike
087233 - Hands flinching post hike muscle spasms...... 0 100
087234 - Chest pain................................... 0 100 began about mile 8, taking Tramadol and Gabapenin mile 11helped
087235 - 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
087236 - Breathing ARDS............................... 0 100 difficulty breathing due to grade and length
087237 - Trapezius right side neck/shoulder........... 0 100 no recurrance today momentarily last half hike turning body and head left or right
087238 - Spine below neck lift left or right arm...... 0 100 did not occur today, but not a factor if head held steady
087239 - Neck turning head/chest left or right........ 0 100 episodes mile 18+ took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00
087240 - 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
087241 - Bicep tendon strain across elbow right arm... 0 100
087242 - 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
087243 - Hands sunburned itching rash................. 0 100 omitted sunblock today 260512, just forgot
087244 - Hip left..................................... 0 100 noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped
087245 - Back......................................... 0 100
087246 - Hip right.................................... 0 100
087247 - Shin splint pain both legs................... 0 100
087248 - Knee left skin lesions left side............. 0 100
087249 - 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
087250 - Knee left patalla...PRP 210705............... 0 100
087251 - Knee buckling left..PRP 191209.240108........ 0 100 began coming down Ygnacio Valley Road about mile 22 - intermittant
087252 - Knee left anterior cruciate ligament......... 0 100 same as knee buckling
087253 - Knee right cruciate ligament back of knee.... 0 100
087254 - 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
087255 - Achilees tendon right leg collaps/buckling... 0 100 did not recur today
087256 - Quadraceps both legs......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
087257 - Hamstring tendon left leg.PRP 210705......... 0 100
087258 - Hamstring left leg........................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
087259 - Hamstring right leg.......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
087260 - Calf left.................................... 0 100
087261 - Tailor's Bunion left foot.. PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
087262 - Tailor's Bunion right foot..PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
087263 - Plantar plate right foot..................... 0 100
087264 - Electric shocks middle 3 toes right foot..... 0 100 occurred intermittanly for minutes maybe twice
087265 - Metatarsalgia left foot...PRP 260403......... 0 100 PRP 260403 may be curing this injury
087266 - Metatarsalgia right foot..PRP 260403......... 0 100 PRP 260403 may be curing this injury
087267 - new Right foot fat pad below #3 & #4,,,,,,,,,,... 0 100 PRP 260403 may be curing this injury
087268 - 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
087269 - Planarfaciitis right foot..240213............. 0 100
087270 - Feet bottom soles hurt socks worn out........ 0 100
087271 - 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
087272 - Ankle left achilles heel on 220416........... 0 100 left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today
087273 - Ankle right pain on 200407 and 231203........ 0 100 xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal
087274 - Foot right possible fracture 200917......... 0 100 CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831
087275 - Hallux Valgus right foot..................... 0 100 seems stable despite hiking therapeutic miles
087276 - Cut big right foot........................... 0 100 Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316
087277 - 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.
087278 - Callus big toe right foot...PRP 210705....... 0 100 peeled large callus just before hike - stable no pain for multiple months
087279 - Blister below big toe right foot............. 0 100
087280 - Blister below big toe left foot.............. 0 100 new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725
087281 - 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
087282 - 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
087283 - Blister forefoot toes right foot............. 0 100
087284 - 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
087285 - 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
087286 - 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
087287 - 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,
087288 - Blister ring toe left foot.new 240602........ 0 100 seems healed today on 240626
087289 - 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
087290 - 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
087291 - 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
087292 - Blister top foot at toe line left foot....... 0 100
087293 - 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
087294 - 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
087295 - Blister top long and middle toes left foot... 0 100
087296 - 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
087297 - 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
087298 - Diabetes toes both feet inflamed, itch....... 0 100 Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms
087299 - 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
087300 - Peripheral neruopathy top left hand.......... 0 100 worse after 2 miles and calmed by mile 8
087301 - Peripheral neruopathy top right hand......... 0 100 worse after 2 miles and calmed by mile 8
087302 - Veering left................................. 0 100 veering left about mile 15 last 5 miles
087303 - Veering right ............................... 0 100
087304 - Fall......................................... 0 100
087305 - Restless legs................................ 0 100
087306 - AFL...5th ablation on 231214................. 0 100 Polar shows no AFL entire hike
087307 - 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
087308 - Wasted - very fatigued....................... 0 100 and 2 hours good speed last 4 miles
087309 - Hiker's rash vasculitis.see 210618........... 1 80 after hike quads show heat rash
087310 -
087311 -
087313 - ..
087314 - Shoes see case study on 200101 0701. ref SDS 21 SO4L Today,
087315 - experimented wearing new Hoka Gaviota 6 shoes size 11.5 width 4E,
087316 - purchased on 260714 0931. ref SDS C4 IK1V These shoes lack Brooks
087317 - Ghost polyvinyl, ref SDS 0 YHGY, forefoot cover with woven gaps that
087318 - has elastic "give" to reduce lateral pressure and pain on edges of #1s
087319 - and #5s, by loosely tightening the first two eyelets. Gaviota 6 also
087320 - have less cushioning than Bondi 9s. They are a size larger than 10.5
087321 - and cover material while less "give" than Books Ghost is softer and
087322 - more elastic than Bondi 9 shoes. This combination of wider shoe base
087323 - and less rigid foot cover caused less lateral pressure on #1s and #5s
087324 - than has been case for Brooks Ghost and Hoka Bondi 9s; but, maybe
087325 - slightly more pressure on bottom of forefeet possibly causing
087326 - increased metatarsalgia compared to Bondi 9.
087328 - ..
087329 - Callus Injuries - this morning on 260719, large callus left foot #1
087330 - nearly came completely loose. Used Podiatry cutting tool to fully
087331 - remove it, after softening tissue in shower. This caused large wound
087332 - that was treated with donut bandage and white tape. PL 0 4 - 6 miles,
087333 - then increased to PL 6 mile 12 to end of hike. Also peeled callus
087334 - with fingernail on edge left foot #5. Eliminated pain entire hike.
087335 - Previously, on 260716 large callus right foot #1 edge came nearly
087336 - completely loose, and was removed with cutting tool. Applied Sport
087337 - Shield.
087339 - ..
087340 - Socks see case study on 200101 0701. ref SDS 21 0S6N Wore 2 pair dual
087341 - ply Wrightsock socks.
087342 -
087343 -
087345 - ..
087346 - Concord 23 mile route - forgot to take Glucosamine Chondroitin for OA
087347 - protection, mainly left knee treated with PRP intra articular
087348 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,
087349 - and also left hip, which flares few times a month, but not for a few
087350 - weeks. Took 1 Naproxen 500 mg for pain management - since have not
087351 - hiked for 2 days, see Samsung GPS mileage below, ref SDS 0 PFSN, there
087352 - is no metatarsalgia pain in feet starting the hike today, and major
087353 - calluses #1s and #5s both feet have peeled loose past few days, per
087354 - above. ref SDS 0 9GSJ Took 4 Magnesium Complex 300 mg pills for
087355 - energy and absorbing lactic acid that together enable hiking
087356 - therapeutic mileage that elevates HDL and EPCs, and extend telomeres.
087357 - Magnesium also reduces inflammation, essential for HDL to increase,
087358 - see research on 200101 0701, ref SDS 21 QP6L Also took 2 CoQ10
087359 - capsules for energy, and took 2 Turmeric Curcumin 2250 mg pills that
087360 - prevent inflammation, which enables HDL to rise. Swallowed pills
087361 - separately and whole combined with small amount avocado, mayonaise,
087362 - peanut butter and margarine - pills slip through LESV much better when
087363 - swallowed combined with food. About 20 minutes later after dressing
087364 - for hike, before starting took liquid Turmeric Curcumin and Ubiquinol
087365 - CoQ10 per above. ref SDS 0 YLD8 CoQ10 is an enzyme produced in the
087366 - body that supports an electron transport chain (ETC) giving human
087367 - cells energy - see case study on 200101 0701. ref SDS 21 136K No
087368 - breakfast reduces bloating feeling starting hike from ischemic colitis
087369 - caused by taking statins and other drugs, also symptomatic of
087370 - diabetes, colitis and atrial fibrillation (arrhythmia - variable heart
087371 - rate) see case study on 200101 0701. ref SDS 21 O33H Did not take
087372 - backpack to carry stuff - good to build conditioning for Half Dome -
087373 - because extra weight increases pressure on feet injuries. Hiked mile
087374 - loop around the block to start hike, which identifies bloating and
087375 - feet wound issues that can be treated back at the house before
087376 - problems arise miles from home. Hiked Cuneo .25 mile and turned left,
087377 - onto Treat. Starting hike both feet less pressure reflecting switch
087378 - to size 11.5 shoes, per above. ref SDS 0 JFEU Feet feeling less
087379 - swelled and like pins and needles - did not feel electrical shocks in
087380 - balls of feet this morning due to peripheral neuropathy caused by
087381 - statins, diabetes, and dysfunctional ANS. Actually, these afflictions
087382 - seem quiet the past weeks. Bottom of both feet minor metatarsalgia
087383 - pain - significant pain ( >5 ) both feet #1 and #5 has caused pausing
087384 - hiking for injuries to heal past 30 days, see case study on 200101
087385 - 0701. ref SDS 21 BGZV Breathed through nose entire hike with no
087386 - dyspnea, indicating conditioning has sustained, despite minimal hiking
087387 - last few months. Temperature started at 75, and reached 85. West
087388 - wind 12 mph and mostly 8 mph, which was cooling. Continued East on
087389 - Treat .5 miles. Turned right hiking South on asphalt shoulder of
087390 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%
087391 - uphill, and very light traffic. Hiked across Newhall Community park
087392 - and back today. Continued on Turtle Creek Road uphill 4% grade. At
087393 - end of Turtle Creek Road turned left onto Ayers hiking East .75 miles
087394 - on asphalt road shoulder. At mile 4, turned right onto Clayton Road
087395 - hiking South .5 miles on asphalt pavement in parking lots of shopping
087396 - complex. Did not stop at Lucky store to buy banana with potassium
087397 - that complements meds for energy, and makes swallowing meds easier,
087398 - because brought banana from home today. Crossed Alberto Way at
087399 - traffic light and continued on concrete sidewalk .5 miles. Energy
087400 - good - did not need to stop at mile 4 time ____ in Mountain Mike's
087401 - Pizza restaurant to take meds for energy to hike. Turned right hiking
087402 - West on Ygnacio Valley Road using concrete sidewalk .5 miles.
087403 - Continued hike crossing Park Highlands Road at Stop Light and heading
087404 - West .25 miles on asphalt shoulder. Crossed to South side Ygnacio
087405 - Valley Road hiking on wider shoulder. Continued West past Stop Light
087406 - at Michigan Boulevard. Hiked another .25 miles to Chevron gas station
087407 - and store. At mile 7, turned left onto Pine Hollow. Hiked East 2.5
087408 - miles West to end of Pine Hollow. Turned around hiking back to
087409 - Ygnacio Valley Road. Stopped at Chevron gas station store mile 12
087410 - time 1103 temp 73 and wind 06 mph; EKG looks uniform with no artifact.
087411 - Kardia reported HR 107 Tachycardia, - see below. ref SDS 0 MW4Z
087412 - Bloating PL 3, both feet metatarsalgia PL 4. Left foot #1 PL 5 (minor
087413 - injury peeling callus, per above. ref SDS 0 9GSJ) and #5 PL 0. Right
087414 - foot #5 PL 0; top of #3, #4, #5 PL 0 feels better today, than past 3
087415 - weeks. Took 2 oxycodone 5 mg total today 2 for pain. Took 4
087416 - Magnesium complex 300 mg pills - total today 8 - for energy, absorbing
087417 - lactic acid, per research on 200101 0701. ref SDS 21 QP6L Took 2
087418 - Turmeric Curcumin 2250 mg - total today 4 - to reduce inflammation.
087419 - Took 2 CoQ10 pills - total today 4 - to increase energy. Sips
087420 - softdrink purchased from Chev store for hydration and swallowing
087421 - nutrition - banana brought from home - enables swallowing medication
087422 - pills combined with bites of banana to slip through LESV now
087423 - contracted due to achalasia, pending dilation procedure scheduled on
087424 - 260821. Took Ubiquinol CoQ10 0.6 ml liquid for HDL and energy to
087425 - continue hike. Did not take Nuun electrolyte pill. Continued hike on
087426 - Pine Hollow 0.25 miles East. Past Discovery Way turned around hiked
087427 - back to Ygnacio Valley Road. Turned left onto Campus Drive hiking 1
087428 - mile West uphill 3% grade against wind 08 mph. The road bends North.
087429 - Turned left heading West on Ygnacio Valley road .50 mile. At Crystal
087430 - Ranch Road, turned around and hiked back. Turned onto Campus Drive
087431 - again and hiked uphill 4% grade .5 mile. Reached Visitor Parking
087432 - California State University East Bay Concord Campus - mile 15. Hiked
087433 - 4 loops around main buildings - used exercise equipment at back of
087434 - buildings to do 20 partial pullups and pushups each pass. Hiked loop
087435 - through Faculty and Student Parking lots. Back at Visitor Parking
087436 - mile 20, left the college heading North downhill on Campus Drive.
087437 - Turned left onto Ygnacio Valley Road. Hiked West on flat grade .5
087438 - miles. At mile 15, hiked past Crystal Ranch Road, heading West on
087439 - Ygnacio Valley road 1 mile uphill 3% grade against wind 12 mph - temp
087440 - 85. Turned left onto Cowell heading North 1 mile downhill 5% grade.
087441 - Turned left onto Treat for .25 mile; turned right on Cunio and home.
087442 - Ended hike mile 23 time 1457 temp 85, wind 12, bloating PL 2, energy
087443 - deficit 0, feet metatarsalgia PL 4, left foot #1 edge PL 9, #5 edge PL
087444 - 2, right foot #1 PL 0, #5 PL 2, top #3, 4, 5 blistering PL 0, burning
087445 - sensation PL 0. EKG sinus with moderate artifact, Kardia reported HR
087446 - 115 Tachycardia - see below. ref SDS 0 CISP
087447 -
087448 -
087449 -
087450 -
087451 -
087452 -
087453 -
087454 -
087456 - ..
087457 - Kardia recorded HR 052 at 0523, Unclassified, looks mostly uniform
087458 - heart beat lengths with p-waves and minor artifact, likely no AFL
087459 - after hiking 00 miles temp __ yesterday, per above, ref SDS 0 HVD4,
087460 - and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely
087461 - arising from dysfuncational ANS following 6th ablation on 240611,
087462 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H Medical
087463 - history case study on 200101 0701. ref SDS 21 TSYT
087464 -
087465 -
087466 - pix: 950 450
087467 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260719-ecg-052349_mile_00_052_ucl_unfm.pdf
087468 -
087469 -
087470 -
087472 - ..
087473 - Polar HR GPS study *** low accuracy GPS used *** in Concord,
087474 - California, hike 23 miles with max temperature 85, - Medical history
087475 - case study on 200101 0701. ref SDS 21 118K
087476 -
087477 - ..
087478 - x
087479 - Reported Samsung GPS mileage...
087480 - x x 1 z yyt A
087481 - x x x 1
087482 - 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
087483 - 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
087484 - 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
087485 - 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
087486 - 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
087487 - 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
087488 - 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
087489 - 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
087490 -
087491 -
087492 -
087493 - https://flow.polar.com/training/analysis/8382156075
087494 -
087496 - ..
087498 - 
087499 -
087500 -
087501 -
087503 - ..
087504 - EKG at mile 12 time 1103, HR 107 temp 73, wind 06; Kardia reported
087505 - Tachycardia... heart rate looks mostly uniform with no artifact -
087506 - medical history case study on 200101 0701. ref SDS 21 TSYT
087507 -
087508 -
087509 - pix: 950 450
087510 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260719-ecg-110357_mile_12_107_tcy_unfm.pdf
087511 -
087512 -
087514 - ..
087515 - End hike EKG at mile 23, time 1457 HR 115 temp 58, wind 12 - Kardia
087516 - reported Tachycardia... looks sinus mostly uniform with minimal
087517 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT
087518 -
087519 -
087520 - pix: 950 450
087521 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260719-ecg-145754_mile_23_115_tcy_unfm.pdf
087522 -
087523 -
087524 -
087525 -
087527 - ..
087528 - Post hike HR profile beginning 2039, aligns with indoor activity after
087529 - hiking 23 miles with temperature 85, and showing no continuous
087530 - extended period steady elevated HR > 130, indicates no AFL, and no
087531 - possible atrial fibrillation, and after stopping Apixaban on 240711,
087532 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
087533 - patient history on 200101 0701. ref SDS 21 TSYT
087534 -
087536 - ..
087537 - 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
087538 - 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
087539 - 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
087540 - 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
087541 - 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
087542 - 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
087543 -
087544 -
087545 -
087546 -
087547 -
087548 - https://flow.polar.com/training/analysis/8382515199
087550 - ..
087551 - HRV seems 10% 0 and 40% good and 50% poor overnight Polar HR report...
087552 -
087554 - 
087555 -
087556 -
087558 - ..
087559 - Breakfast - avocado peanut butter mayonaise margarine - few bites difficult to swallow
087560 - Lunch -
087561 - Dinner - macaroni cheese steak onion brocolli potato
087563 - ..
087564 - Vomiting: 0% dinner - bloating PL 3 - 20% difficulty swallowing morning and evening
087565 -
087566 -
087567 -
087568 -
087569 -
087570 -
087571 -
087572 -
087573 -
087574 -
087575 -
087576 -
087577 -
087578 -
087579 -
087580 -
087581 -
087582 -
087583 -
087584 -
087585 -
087586 -
087587 -
087588 -
087590 - ..
087591 - H I K I N G
087592 - M E D I C A T I O N Miles Time V I T A L S
087593 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
087594 - ====================================================================================
087595 - Monday
087596 - 132. 260720 0705............................................. summary vitals, ref SDS 21 9HIW
087597 - 0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
087598 - 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
087599 - 0720....BP HR..................................................... 158 68 47 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
087600 - 0725....BP HR..................................................... 157 75 50
087601 - 0730....BP HR..................................................... 138 73 44
087602 - 0735....weight.................................... 186
087603 - 0735....Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
087604 - 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
087605 - 0000...
087606 - ..
087607 - 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
087608 - 0000............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
087609 - 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
087610 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
087611 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
087612 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
087613 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
087614 - 0000... 10 60 Cyclobenzaprine sleep aid
087615 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
087616 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
087617 -
087619 - ..
087620 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to
087621 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
087623 - ..
087624 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
087625 - pain no longer in toes down to heels. Symptoms declined pins and
087626 - needles tingling in evening, when feet are elevated in reclining
087627 - chair. Restless legs has not occurred for awhile, maybe because
087628 - hiking has declined considerably.
087630 - ..
087631 - Pain medication limitations reported in case study on 200101 0701.
087632 - ref SDS 21 KS5O
087634 - ..
087635 - Swallowing - continue solid and liquid backing up above LESV; eating
087636 - very slowly to avoid gagging.
087638 - ..
087639 - Reflux slept in bed last night, after EGD dilation on 260421 0830.
087640 - ref SDS C0 1X6F
087641 -
087642 -
087643 -
087645 - ..
087646 - Kardia recorded HR 045 at 0924, Bradycardia, looks mostly uniform
087647 - heart beat lengths with p-waves and no artifact, likely no AFL after
087648 - hiking 23 miles temp 95 yesterday, per above, ref SDS 0 YLD8, and
087649 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely
087650 - arising from dysfuncational ANS following 6th ablation on 240611,
087651 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H Medical
087652 - history case study on 200101 0701. ref SDS 21 TSYT
087653 -
087654 -
087655 - pix: 950 450
087656 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260720-ecg-092449_mile_00_045_bdy_unfm.pdf
087657 -
087658 -
087660 - ..
087661 - Post hike HR profile beginning 1934, aligns with indoor activity after
087662 - hiking 00 miles with temperature __, and showing no continuous
087663 - extended period steady elevated HR > 130, indicates no AFL, and no
087664 - possible atrial fibrillation, and after stopping Apixaban on 240711,
087665 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
087666 - patient history on 200101 0701. ref SDS 21 TSYT
087667 -
087669 - ..
087670 - 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
087671 - 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
087672 - 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
087673 - 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
087674 - 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
087675 - 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
087676 -
087677 -
087678 - https://flow.polar.com/training/analysis/8383163938
087680 - ..
087681 - HRV seems 10% 0 and 20% good and 70% poor overnight Polar HR report...
087682 -
087684 - 
087685 -
087686 -
087688 - ..
087689 - Breakfast - eggs avocado cottage cheese- few bites difficult to swallow
087690 - Lunch -
087691 - Dinner - macaroni cheese steak onion brocolli potato
087693 - ..
087694 - Vomiting: 0% dinner - bloating PL 3 - 20% difficulty swallowing morning and evening
087695 -
087696 -
087697 -
087698 -
087699 -
087700 -
087701 -
087702 -
087703 -
087704 -
087705 -
087706 -
087707 -
087708 -
087709 -
087710 -
087711 -
087712 -
087713 -
087714 -
087715 -
087716 -
087717 -
087718 -
087720 - ..
087721 - H I K I N G
087722 - M E D I C A T I O N Miles Time V I T A L S
087723 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
087724 - ====================================================================================
087725 - Tuesday
087726 - 132. 260721 0710............................................. summary vitals, ref SDS 21 9HIW
087727 - 0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
087728 - 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
087729 - 0720....BP HR..................................................... 166 64 51 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
087730 - 0725....BP HR..................................................... 163 70 49
087731 - 0730....BP HR..................................................... 156 77 44
087732 - 0735....weight.................................... 189
087733 - 0735....Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
087734 - 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
087735 - 0000...
087736 - ..
087737 - 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
087738 - 1830............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
087739 - 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
087740 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
087741 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
087742 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
087743 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
087744 - 0000... 10 60 Cyclobenzaprine sleep aid
087745 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
087746 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
087747 -
087749 - ..
087750 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
087751 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
087753 - ..
087754 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
087755 - pain no longer in toes down to heels. Symptoms declined pins and
087756 - needles tingling in evening, when feet are elevated in reclining
087757 - chair. Restless legs has not occurred for awhile, maybe because
087758 - hiking has declined considerably.
087760 - ..
087761 - Pain medication limitations reported in case study on 200101 0701.
087762 - ref SDS 21 KS5O
087764 - ..
087765 - Swallowing - before starting hike difficult injesting medication
087766 - pills with few bites avocado, mayonaise, margarine and peanut butter.
087767 - After hike had to extend time to swallow food to several hours.
087769 - ..
087770 - Reflux slept in bed last night, after EGD dilation on 260421 0830.
087771 - ref SDS C0 1X6F
087772 -
087773 -
087774 -
087776 - ..
087777 - Kardia recorded HR 045 at 0805, Bradycardia, looks mostly uniform
087778 - heart beat lengths with p-waves and no artifact, likely no AFL after
087779 - hiking 23 miles temp 95 yesterday, per above, ref SDS 0 YLD8, and
087780 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely
087781 - arising from dysfuncational ANS following 6th ablation on 240611,
087782 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H Medical
087783 - history case study on 200101 0701. ref SDS 21 TSYT
087784 -
087785 -
087786 - pix: 950 450
087787 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260721-ecg-080520_mile_00_053_ucl_vrbl.pdf
087788 -
087789 -
087790 -
087791 -
087793 - ..
087794 - Post hike HR profile beginning 2030, aligns with indoor activity after
087795 - hiking 00 miles with temperature __, and showing no continuous
087796 - extended period steady elevated HR > 130, indicates no AFL, and no
087797 - possible atrial fibrillation, and after stopping Apixaban on 240711,
087798 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
087799 - patient history on 200101 0701. ref SDS 21 TSYT
087800 -
087802 - ..
087803 - 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
087804 - 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
087805 - 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
087806 - 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
087807 - 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
087808 - 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
087809 -
087810 -
087811 - https://flow.polar.com/training/analysis/8383834222
087813 - ..
087814 - HRV seems 20% 0 and 40% good and 40% poor overnight Polar HR report...
087815 -
087817 - 
087818 -
087819 -
087821 - ..
087822 - Breakfast - cheerios peach milk
087823 - Lunch - half sandwich roast beef onion pickle
087824 - Dinner - macaroni cheese steak onion brocolli
087826 - ..
087827 - Vomiting: 50% dinner - bloating PL 8 - 20% difficulty swallowing morning and evening
087828 -
087829 -
087830 -
087831 -
087832 -
087833 -
087834 -
087835 -
087836 -
087837 -
087838 -
087839 -
087840 -
087841 -
087842 -
087843 -
087844 -
087845 -
087846 -
087847 -
087848 -
087849 -
087850 -
087851 -
087853 - ..
087854 - H I K I N G
087855 - M E D I C A T I O N Miles Time V I T A L S
087856 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
087857 - ====================================================================================
087858 - Wednesday
087859 - 132. 260722 0720............................................. summary vitals, ref SDS 21 9HIW
087860 - 0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
087861 - 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
087862 - 0730....BP HR..................................................... 160 78 50 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
087863 - 0735....BP HR..................................................... 174 80 46
087864 - 0740....BP HR..................................................... 159 68 53
087865 - 0745....weight.................................... 187
087866 - 0745....Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
087867 - 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
087868 - 0000...
087869 - ..
087870 - 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
087871 - 1830............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
087872 - 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
087873 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
087874 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
087875 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
087876 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
087877 - 0000... 10 60 Cyclobenzaprine sleep aid
087878 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
087879 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
087880 -
087882 - ..
087883 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
087884 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
087886 - ..
087887 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
087888 - pain no longer in toes down to heels. Symptoms declined pins and
087889 - needles tingling in evening, when feet are elevated in reclining
087890 - chair. Restless legs has not occurred for awhile, maybe because
087891 - hiking has declined considerably.
087893 - ..
087894 - Pain medication limitations reported in case study on 200101 0701.
087895 - ref SDS 21 KS5O
087897 - ..
087898 - Swallowing - had to eat very slow to allow food and liquid to seep
087899 - through LESV.
087901 - ..
087902 - Reflux woke up OA 0200 coughing with aspiration to clear lungs; slept
087903 - in recliner chair after EGD dilation on 260421 0830. ref SDS C0 1X6F
087904 -
087905 -
087906 -
087907 -
087909 - ..
087910 - Kardia recorded HR 047 at 0800, Bradycardia, looks mostly uniform
087911 - heart beat lengths with p-waves and no artifact, likely no AFL after
087912 - hiking 00 miles temp __ yesterday, per above, ref SDS 0 ZJE1, and
087913 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely
087914 - arising from dysfuncational ANS following 6th ablation on 240611,
087915 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H Medical
087916 - history case study on 200101 0701. ref SDS 21 TSYT
087917 -
087918 -
087919 - pix: 950 450
087920 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260722-ecg-080047_mile_00_047_bdy_unfm.pdf
087921 -
087922 -
087923 -
087925 - ..
087926 - Post hike HR profile beginning 2242, aligns with indoor activity after
087927 - hiking 00 miles with temperature __, and showing no continuous
087928 - extended period steady elevated HR > 130, indicates no AFL, and no
087929 - possible atrial fibrillation, and after stopping Apixaban on 240711,
087930 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
087931 - patient history on 200101 0701. ref SDS 21 TSYT
087932 -
087934 - ..
087935 - 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
087936 - 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
087937 - 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
087938 - 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
087939 - 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
087940 - 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
087941 -
087942 -
087943 - https://flow.polar.com/training/analysis/8384511824
087945 - ..
087946 - HRV seems 20% 0 and 20% good and 60% poor overnight Polar HR report...
087947 -
087949 - 
087950 -
087951 -
087953 - ..
087954 - Breakfast -
087955 - Lunch - half sandwich roast beef onion pickle
087956 - Dinner - macaroni cheese steak onion brocolli
087958 - ..
087959 - Vomiting: 0% dinner - bloating PL 4 - 60% difficulty swallowing morning and evening at night aspirated in bed had to sleep in recliner chair
087960 -
087961 -
087962 -
087963 -
087964 -
087965 -
087966 -
087967 -
087968 -
087969 -
087970 -
087971 -
087972 -
087973 -
087974 -
087975 -
087976 -
087977 -
087978 -
087979 -
087980 -
087981 -
087982 -
087983 -
087985 - ..
087986 - H I K I N G
087987 - M E D I C A T I O N Miles Time V I T A L S
087988 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
087989 - ====================================================================================
087990 - Thursday
087991 - 132. 260723 0700............................................. summary vitals, ref SDS 21 9HIW
087992 - 0700....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
087993 - 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
087994 - 0720....BP HR..................................................... 173 78 60 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
087995 - 0725....BP HR..................................................... 173 76 60
087996 - 0730....BP HR..................................................... 147 80 65
087997 - 0735....weight.................................... 187
087998 - 0735....Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
087999 - 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
088000 - 0000...
088001 - ..
088002 - 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
088003 - 0000............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
088004 - 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
088005 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
088006 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
088007 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
088008 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
088009 - 0000... 10 60 Cyclobenzaprine sleep aid
088010 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
088011 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
088012 -
088014 - ..
088015 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
088016 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
088018 - ..
088019 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
088020 - pain no longer in toes down to heels. Symptoms declined pins and
088021 - needles tingling in evening, when feet are elevated in reclining
088022 - chair. Restless legs has not occurred for awhile, maybe because
088023 - hiking has declined considerably.
088025 - ..
088026 - Pain medication limitations reported in case study on 200101 0701.
088027 - ref SDS 21 KS5O
088029 - ..
088030 - Swallowing - before starting hike difficult injesting medication
088031 - pills with few bites avocado, mayonaise, margarine and peanut butter.
088032 - After hike had to extend time to swallow food to several hours.
088034 - ..
088035 - Reflux slept in recliner chair last night, after EGD dilation on
088036 - 260421 0830. ref SDS C0 1X6F
088037 -
088038 -
088039 -
088040 -
088042 - ..
088043 - Kardia recorded HR 055 at 0912, Unclassified, looks mostly variable
088044 - heart beat lengths with p-waves and no artifact, likely no AFL after
088045 - hiking 00 miles temp __ yesterday, per above, ref SDS 0 2TQZ, and
088046 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely
088047 - arising from dysfuncational ANS following 6th ablation on 240611,
088048 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H Medical
088049 - history case study on 200101 0701. ref SDS 21 TSYT
088050 -
088051 -
088052 - pix: 950 450
088053 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260723-ecg-091231_mile_00_055_ucl_vrbl.pdf
088054 -
088055 -
088057 - ..
088058 - Post hike HR profile beginning 2022, aligns with indoor activity after
088059 - hiking 00 miles with temperature __, and showing no continuous
088060 - extended period steady elevated HR > 130, indicates no AFL, and no
088061 - possible atrial fibrillation, and after stopping Apixaban on 240711,
088062 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
088063 - patient history on 200101 0701. ref SDS 21 TSYT
088064 -
088066 - ..
088067 - 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
088068 - 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
088069 - 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
088070 - 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
088071 - 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
088072 - 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
088073 -
088074 -
088075 - https://flow.polar.com/training/analysis/8385170387
088077 - ..
088078 - HRV seems 10% 0 and 60% good and 30% poor overnight Polar HR report...
088079 -
088081 - 
088082 -
088083 -
088085 - ..
088086 - Breakfast -
088087 - Lunch - half sandwich roast beef onion pickle
088088 - Dinner - steak brocolli asparagus cauliflower onion potato
088090 - ..
088091 - 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
088092 -
088093 -
088094 -
088095 -
088096 -
088097 -
088098 -
088099 -
088100 -
088101 -
088102 -
088103 -
088104 -
088105 -
088106 -
088107 -
088108 -
088109 -
088110 -
088111 -
088112 -
088113 -
088114 -
088115 -
088116 -
088118 - ..
088119 - H I K I N G
088120 - M E D I C A T I O N Miles Time V I T A L S
088121 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
088122 - ====================================================================================
088123 - Friday
088124 - 132. 260724 0720............................................. summary vitals, ref SDS 21 9HIW
088125 - 0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
088126 - 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
088127 - 0730....BP HR..................................................... 159 79 47 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
088128 - 0735....BP HR..................................................... 175 77 48
088129 - 0740....BP HR..................................................... 158 78 49
088130 - 0745....weight.................................... 187
088131 - 1015....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
088132 - 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
088133 - 1015... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
088134 - 1015....Avocado to increase HDL - 1/4th
088135 - 1015....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)
088136 - 1015....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N
088137 - 0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL
088138 - 1030....Naproxen 500 mg took 1 pill cut in half to aid swallowing
088139 - 1030... 05 CoQ10 Ubiquinol Liquid - increases energy
088140 - 1030....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses
088141 - 0000...
088142 - ..
088143 - 1102....miles........... 12.0 12.0 191 191 minutes temp 91 wind 12 rain 0% light
088144 - 0000....................................................
088145 - 1247....mile 06 stopped EKG ... banana potassium and aids swallowing medication pills slip through contracted LESV
088146 - 1247....Naproxen 500 mg took 1 pill
088147 - 1247... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
088148 - 1247... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
088149 - 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
088150 - 0000... Nuun Electrolytes Pill
088151 - 1247... 20 4060 CoQ10 Ubiquinol Liquid
088152 - 0000....................................................
088153 - 1511... Hike ends mile 12... ref SDS 0 DB24
088154 - 0000...
088155 - 1515....weight.................................... 182 lost 5#
088156 - 1530....BP HR..................................................... 134 77 103
088157 - 1539....BP HR..................................................... 131 74 102
088158 - 1555....BP HR..................................................... 135 80 101
088159 - 0000...
088160 - ..
088161 - 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
088162 - 1830............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
088163 - 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
088164 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
088165 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
088166 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
088167 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
088168 - 0000... 10 60 Cyclobenzaprine sleep aid
088169 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
088170 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
088171 -
088173 - ..
088174 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
088175 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
088177 - ..
088178 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
088179 - pain no longer in toes down to heels. Symptoms declined pins and
088180 - needles tingling in evening, when feet are elevated in reclining
088181 - chair. Restless legs has not occurred for awhile, maybe because
088182 - hiking has declined considerably.
088184 - ..
088185 - Pain medication limitations reported in case study on 200101 0701.
088186 - ref SDS 21 KS5O
088188 - ..
088189 - Swallowing - seems better today, eating more slowly. Before starting
088190 - hike difficult injesting medication pills with few bites avocado,
088191 - mayonaise, margarine and peanut butter. After hike had to extend time
088192 - to swallow food to several hours.
088194 - ..
088195 - Reflux slept in bed; but had to get up about 0000 and sleep in
088196 - recliner chair for 2 more hours, then back in bed; after EGD dilation
088197 - on 260421 0830. ref SDS C0 1X6F
088198 -
088200 - ..
088201 - Summary... before starting had difficulty swallowing nutrition,
088202 - hydration and medications for hiking. Temperature 91 degress makes
088203 - hike more difficult. Skipped test hike around the block 1 mile. Wore
088204 - new Hoka model Gaviota 6 shoes larger size 11.5 extra wide seems less
088205 - traumatic than Bondi 9 size 10.5 extra wide. Actually, seems like
088206 - Gaviota 6 shoes breakdown a little bit after 10 miles. Wound from
088207 - peeling large callus from left foot #1 edge last week, not fully
088208 - healed, applied bandage. This was only partially successfu. By mile
088209 - 12, pain prevented completing planned 20 mile hike.
088210 -
088211 -
088213 - ..
088214 - Pain Location Pain Level % of Hike
088215 - ----------------------------------------- ---------- ---------
088216 - Stomach pain ischemic colitis bloating....... 4 60 bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 08 miles, but increased by end of hike; temp 91 may have increased dysfunction ANS symptoms including bloating
088217 - 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
088218 - Hands cramping hurting - post hike........... 0 100 hands and thumbs cramping 2 hours after hike
088219 - Hands flinching post hike muscle spasms...... 0 100
088220 - Chest pain................................... 0 100 began about mile 8, taking Tramadol and Gabapenin mile 11helped
088221 - 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
088222 - Breathing ARDS............................... 0 100 difficulty breathing due to grade and length
088223 - Trapezius right side neck/shoulder........... 0 100 no recurrance today momentarily last half hike turning body and head left or right
088224 - Spine below neck lift left or right arm...... 0 100 did not occur today, but not a factor if head held steady
088225 - Neck turning head/chest left or right........ 0 100 episodes mile 18+ took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00
088226 - 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
088227 - Bicep tendon strain across elbow right arm... 0 100
088228 - 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
088229 - Hands sunburned itching rash................. 0 100 omitted sunblock today 260512, just forgot
088230 - Hip left..................................... 0 100 noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped
088231 - Back......................................... 0 100
088232 - Hip right.................................... 0 100
088233 - Shin splint pain both legs................... 0 100
088234 - Knee left skin lesions left side............. 0 100
088235 - 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
088236 - Knee left patalla...PRP 210705............... 0 100
088237 - Knee buckling left..PRP 191209.240108........ 0 100 began coming down Ygnacio Valley Road about mile 22 - intermittant
088238 - Knee left anterior cruciate ligament......... 0 100 same as knee buckling
088239 - Knee right cruciate ligament back of knee.... 0 100
088240 - 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
088241 - Achilees tendon right leg collaps/buckling... 0 100 did not recur today
088242 - Quadraceps both legs......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
088243 - Hamstring tendon left leg.PRP 210705......... 0 100
088244 - Hamstring left leg........................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
088245 - Hamstring right leg.......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
088246 - Calf left.................................... 0 100
088247 - Tailor's Bunion left foot.. PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
088248 - Tailor's Bunion right foot..PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
088249 - Plantar plate right foot..................... 0 100
088250 - Electric shocks middle 3 toes right foot..... 0 100 occurred intermittanly for minutes maybe twice
088251 - Metatarsalgia left foot...PRP 260403......... 2 100 PRP 260403 may be curing this injury
088252 - Metatarsalgia right foot..PRP 260403......... 2 100 PRP 260403 may be curing this injury
088253 - new Right foot fat pad below #3 & #4,,,,,,,,,,... 0 100 PRP 260403 may be curing this injury
088254 - 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
088255 - Planarfaciitis right foot..240213............. 0 100
088256 - Feet bottom soles hurt socks worn out........ 0 100
088257 - 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
088258 - Ankle left achilles heel on 220416........... 0 100 left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today
088259 - Ankle right pain on 200407 and 231203........ 0 100 xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal
088260 - Foot right possible fracture 200917......... 0 100 CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831
088261 - Hallux Valgus right foot..................... 0 100 seems stable despite hiking therapeutic miles
088262 - Cut big right foot........................... 0 100 Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316
088263 - 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.
088264 - Callus big toe right foot...PRP 210705....... 0 100 peeled large callus just before hike - stable no pain for multiple months
088265 - Blister below big toe right foot............. 0 100
088266 - Blister below big toe left foot.............. 0 100 new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725
088267 - 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
088268 - 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
088269 - Blister forefoot toes right foot............. 0 100
088270 - 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
088271 - 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
088272 - 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
088273 - 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,
088274 - Blister ring toe left foot.new 240602........ 0 100 seems healed today on 240626
088275 - 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
088276 - 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
088277 - 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
088278 - Blister top foot at toe line left foot....... 0 100
088279 - 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
088280 - 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
088281 - Blister top long and middle toes left foot... 0 100
088282 - 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
088283 - 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
088284 - Diabetes toes both feet inflamed, itch....... 0 100 Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms
088285 - 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
088286 - Peripheral neruopathy top left hand.......... 0 100 worse after 2 miles and calmed by mile 8
088287 - Peripheral neruopathy top right hand......... 0 100 worse after 2 miles and calmed by mile 8
088288 - Veering left................................. 0 100 veering left about mile 15 last 5 miles
088289 - Veering right ............................... 0 100
088290 - Fall......................................... 0 100
088291 - Restless legs................................ 0 100
088292 - AFL...5th ablation on 231214................. 0 100 Polar shows no AFL entire hike
088293 - 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
088294 - Wasted - very fatigued....................... 0 100 and 2 hours good speed last 4 miles
088295 - Hiker's rash vasculitis.see 210618........... 1 80 after hike quads show heat rash
088296 -
088297 -
088299 - ..
088300 - Shoes see case study on 200101 0701. ref SDS 21 SO4L Today,
088301 - experimented wearing new Hoka Gaviota 6 shoes size 11.5 width 4E,
088302 - purchased on 260714 0931. ref SDS C4 IK1V These shoes lack Brooks
088303 - Ghost polyvinyl forefoot cover with woven gaps that provide elastic
088304 - "give" to control lateral pressure and pain on forefeet by loosely
088305 - tightening the first three eyelets. Gaviota 6 also have less
088306 - cushioning than Bondi 9s. They are a size larger than 10.5 to
088307 - hopefully cause less lateral on pressure both feet #1s and #5s than
088308 - has been case for Brooks Ghost and Hoka Bondi 9s; but, maybe slightly
088309 - more pressure bottom forefeet possibly causing increased
088310 - metatarsalgia. About mile 10 seemed like Gaviota 6 shoes began
088311 - losing control of feet, i.e., sliping sideways - could be
088312 - imagination.
088314 - ..
088315 - Callus Injuries - on 260719, large callus left foot #1 nearly came
088316 - completely loose, see above. ref SDS 0 9GSJ Used Podiatry cutting
088317 - tool to fully remove it, after softening tissue in shower. This
088318 - caused large wound that is still not completely healed. Today,
088319 - treated with donut bandage and white tape. PL 0-4 - 4 miles, then
088320 - increased to PL 6 mile 8 to end of hike. At end of hike bandage was
088321 - difficult to remove - very painful, should have soaked foot in shower
088322 - before removing bandage. Also peeled callus with fingernail on edge
088323 - left foot #5. Eliminated pain entire hike.
088325 - ..
088326 - Socks see case study on 200101 0701. ref SDS 21 0S6N Wore 2 pair dual
088327 - ply Wrightsock socks.
088328 -
088329 -
088331 - ..
088332 - Concord 12 mile route - took Glucosamine Chondroitin for OA
088333 - protection, mainly left knee treated with PRP intra articular
088334 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,
088335 - and also left hip, which flares few times a month, but not for a few
088336 - weeks. Took 1 Naproxen 500 mg for pain management - since have not
088337 - hiked for 4 days, see Samsung GPS mileage below, ref SDS 0 PFSN, there
088338 - is no metatarsalgia pain in feet starting the hike today, and major
088339 - calluses #1s and #5s both feet have peeled loose past few days, per
088340 - above. ref SDS 0 6D95 Took 4 Magnesium Complex 300 mg pills for
088341 - energy and absorbing lactic acid that together enable hiking
088342 - therapeutic miles that elevates HDL and EPCs, and extend telomeres.
088343 - Magnesium also reduces inflammation (though not significantly),
088344 - essential for HDL to increase, see research on 200101 0701,
088345 - ref SDS 21 QP6L Also took 2 CoQ10 capsules for energy, and took 2
088346 - Turmeric Curcumin 2250 mg pills that prevent inflammation, which
088347 - enables HDL to rise. Swallowed pills separately and whole combined
088348 - with small amount avocado, mayonaise, peanut butter and margarine -
088349 - pills slip through LESV much better when swallowed combined with food.
088350 - About 20 minutes later after dressing for hike, before leaving house
088351 - took liquid Turmeric Curcumin and Ubiquinol CoQ10 per above.
088352 - ref SDS 0 EJ8H CoQ10 is an enzyme produced in the body that supports
088353 - an electron transport chain (ETC) giving human cells energy - see case
088354 - study on 200101 0701. ref SDS 21 136K No breakfast reduces bloating
088355 - feeling starting hike from ischemic colitis caused by taking statins
088356 - and other drugs, also symptomatic of diabetes, colitis and atrial
088357 - fibrillation (arrhythmia - variable heart rate) see case study on
088358 - 200101 0701. ref SDS 21 O33H Did not take backpack to carry stuff -
088359 - good to build conditioning for Half Dome - because extra weight
088360 - increases pressure on feet injuries. Did not hike mile loop around
088361 - the block to start hike, which identifies bloating and feet wound
088362 - issues that can be treated back at the house before problems arise
088363 - miles from home. Hiked Cuneo .25 mile and turned left, onto Treat.
088364 - Starting hike both feet less pressure reflecting switch to size 11.5
088365 - shoes, per above. ref SDS 0 NXDB Feet feeling less swelled and like
088366 - pins and needles - did not feel electrical shocks in balls of feet
088367 - this morning due to peripheral neuropathy caused by statins, diabetes,
088368 - and dysfunctional ANS. Actually, these afflictions seem quiet the
088369 - past weeks. Bottom of both feet minor metatarsalgia pain -
088370 - significant pain ( > 5 ) both feet #1 and #5 - has caused pausing
088371 - hiking for injuries to heal past 30 days, see case study on 200101
088372 - 0701. ref SDS 21 BGZV Breathed through nose entire hike with no
088373 - dyspnea, indicating conditioning has sustained, despite minimal hiking
088374 - last few months. Temperature started at 75, and reached 91. West
088375 - wind 12 mph and mostly 6 mph, which was cooling. Continued East on
088376 - Treat .5 miles. Turned right hiking South on asphalt shoulder of
088377 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%
088378 - uphill, and very light traffic. Hiked across Newhall Community park
088379 - and back today. Continued on Turtle Creek Road uphill 4% grade. At
088380 - end of Turtle Creek Road turned left onto Ayers hiking East .75 miles
088381 - on asphalt road shoulder. At mile 3, turned right onto Clayton Road
088382 - hiking South .5 miles on asphalt pavement in parking lots of shopping
088383 - complex. Did not stop at Lucky store to buy banana with potassium
088384 - that complements meds for energy, and makes swallowing meds easier,
088385 - because brought banana from home today. Crossed Alberto Way at
088386 - traffic light and continued on concrete sidewalk .5 miles. Energy
088387 - good - did not need to stop at mile 4 time ____ in Mountain Mike's
088388 - Pizza restaurant to take meds for energy to hike. Turned right hiking
088389 - West on Ygnacio Valley Road using concrete sidewalk .5 miles.
088390 - Continued hike crossing Park Highlands Road at Stop Light and heading
088391 - West .25 miles on asphalt shoulder. Crossed to South side Ygnacio
088392 - Valley Road hiking on wider shoulder. Continued West past Stop Light
088393 - at Michigan Boulevard. Hiked another .25 miles to Chevron gas station
088394 - and store. At mile 5, turned left onto Pine Hollow. Hiked East 0.5
088395 - miles West to beyond Discovery Way. Turned around hiking back to
088396 - Ygnacio Valley Road. Stopped at Chevron gas station store mile 6 time
088397 - 1247 temp 85 and wind 09 mph; EKG looks uniform with no artifact.
088398 - Kardia reported HR 110 Tachycardia, - see below. ref SDS 0 97WY
088399 - Bloating PL 5, both feet metatarsalgia PL 0. Left foot #1 PL 2 (wound
088400 - injury peeling callus, per above. ref SDS 0 6D95), and #5 PL 0. Right
088401 - foot #5 PL 0; top of #3, #4, #5 PL 0 feels better today, than past 3
088402 - weeks. Took 1 Naproxen 500 mg total today 2 for pain. Took 4
088403 - Magnesium complex 300 mg pills - total today 8 - for energy, absorbing
088404 - lactic acid, per research on 200101 0701. ref SDS 21 QP6L Took 2
088405 - Turmeric Curcumin 2250 mg - total today 4 - to reduce inflammation.
088406 - Took 2 CoQ10 pills - total today 4 - to increase energy. Sips
088407 - softdrink purchased from Chev store for hydration and swallowing
088408 - nutrition - banana brought from home - enables swallowing medication
088409 - pills combined with bites of banana to slip through LESV now
088410 - contracted due to achalasia, pending dilation procedure scheduled on
088411 - 260821. Took Ubiquinol CoQ10 0.6 ml liquid for HDL and energy to
088412 - continue hike. Did not take Nuun electrolyte pill. Continued hike on
088413 - Pine Hollow 0.50 miles East. Past Discovery Way turned around hiked
088414 - back to Ygnacio Valley Road. Turned left onto Campus Drive hiking 1
088415 - mile West uphill 3% grade against wind 10 mph. The road bends North.
088416 - Turned left heading West on Ygnacio Valley road .50 mile. At mile 09,
088417 - hiked past Crystal Ranch Road, heading West on Ygnacio Valley road 1
088418 - mile uphill 3% grade against wind 12 mph - temp 85. At summit mile
088419 - 10, turned around hiking back .50 mile. Turned left onto Cowell
088420 - heading North .5 mile downhill 5% grade with wide shoulder. Continued
088421 - .5 mile no shoulder against heavy afternoon commute traffic. Turned
088422 - left onto Treat for .25 mile; turned right on Cunio and home. Ended
088423 - hike mile 12 time 1511 temp 91, wind 11, bloating PL 4, energy deficit
088424 - PL 4, feet metatarsalgia PL 2, left foot #1 edge PL 4, #5 edge PL 0,
088425 - right foot #1 PL 0, #5 PL 0, top #3, 4, 5 blistering PL 0, burning
088426 - sensation PL 0. EKG sinus with mild artifact, Kardia reported HR 122
088427 - Tachycardia - see below. ref SDS 0 DB24
088428 -
088429 -
088430 -
088431 -
088432 -
088433 -
088434 -
088435 -
088437 - ..
088438 - Kardia recorded HR 048 at 0848, Bradycardia, looks mostly uniform
088439 - heart beat lengths with p-waves and no artifact, likely no AFL after
088440 - hiking 00 miles temp __ yesterday, per above, ref SDS 0 NIDO, and
088441 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely
088442 - arising from dysfuncational ANS following 6th ablation on 240611,
088443 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H Medical
088444 - history case study on 200101 0701. ref SDS 21 TSYT
088445 -
088446 -
088447 - pix: 950 450
088448 -
088449 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260724-ecg-084852_mile_00_048_bdy_unfm.pdf
088450 -
088451 -
088452 -
088453 -
088455 - ..
088456 - Polar HR GPS study *** low accuracy GPS used *** in Concord,
088457 - California, hike 12 miles with max temperature 85, - Medical history
088458 - case study on 200101 0701. ref SDS 21 118K
088459 -
088460 - ..
088461 - x
088462 - Reported Samsung GPS mileage...
088463 - x x A
088464 - x x x
088465 - 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
088466 - 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
088467 - 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
088468 - 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
088469 - 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
088470 - 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
088471 - 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
088472 - 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
088473 -
088474 -
088475 -
088476 - https://flow.polar.com/training/analysis/8385392326
088477 -
088479 - ..
088481 - 
088482 -
088483 -
088484 -
088486 - ..
088487 - EKG at mile 06 time 1247, HR 110 temp 85, wind 09; Kardia reported
088488 - Tachycardia... heart rate looks mostly uniform with no artifact -
088489 - medical history case study on 200101 0701. ref SDS 21 TSYT
088490 -
088491 -
088492 - pix: 950 450
088493 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260724-ecg-124758_mile_06_110_tcy_unfm.pdf
088494 -
088495 -
088497 - ..
088498 - End hike EKG at mile 12, time 1511 HR 122 temp 91, wind 11 - Kardia
088499 - reported Tachycardia... looks sinus mostly uniform with mild artifact
088500 - - medical history case study on 200101 0701. ref SDS 21 TSYT
088501 -
088502 -
088503 - pix: 950 450
088504 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260724-ecg-151136_mile_12_122_tcy_unfm.pdf
088505 -
088506 -
088507 -
088508 -
088510 - ..
088511 - Post hike HR profile beginning 2231, aligns with indoor activity after
088512 - hiking 12 miles with temperature 91, and showing no continuous
088513 - extended period steady elevated HR > 130, indicates no AFL, and no
088514 - possible atrial fibrillation, and after stopping Apixaban on 240711,
088515 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
088516 - patient history on 200101 0701. ref SDS 21 TSYT
088517 -
088519 - ..
088520 - 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
088521 - 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
088522 - 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
088523 - 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
088524 - 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
088525 - 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
088526 -
088527 -
088528 - https://flow.polar.com/training/analysis/8385802572
088530 - ..
088531 - HRV seems 10% 0 and 60% good and 30% poor overnight Polar HR report...
088532 -
088534 - 
088535 -
088536 -
088538 - ..
088539 - Breakfast - avocado peanut butter mayonaise margarine - few bites difficult to swallow
088540 - Lunch - banana with meds
088541 - Dinner - eggs steak brocolli asparagus cauliflower onion potato
088543 - ..
088544 - 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
088545 -
088546 -
088547 -
088548 -
088549 -
088550 -
088551 -
088552 -
088553 -
088554 -
088555 -
088556 -
088557 -
088558 -
088559 -
088560 -
088561 -
088562 -
088563 -
088564 -
088565 -
088566 -
088567 -
088568 -
088569 -
088570 -
088572 - ..
088573 - H I K I N G
088574 - M E D I C A T I O N Miles Time V I T A L S
088575 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
088576 - ====================================================================================
088577 - Saturday
088578 - 132. 260725 0710............................................. summary vitals, ref SDS 21 9HIW
088579 - 0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
088580 - 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
088581 - 0720....BP HR..................................................... 159 55 43 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
088582 - 0725....BP HR..................................................... 175 63 49
088583 - 0730....BP HR..................................................... 151 68 56
088584 - 0735....weight.................................... 187
088585 - 0735....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
088586 - 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
088587 - 0000...
088588 - ..
088589 - 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
088590 - 0000............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
088591 - 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
088592 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
088593 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
088594 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
088595 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
088596 - 0000... 10 60 Cyclobenzaprine sleep aid
088597 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
088598 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
088599 -
088601 - ..
088602 - Could not hike today, because another large section of callus came
088603 - loose on left foot #1, leaving a wound that needs to heal.
088605 - ..
088606 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
088607 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
088609 - ..
088610 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
088611 - pain no longer in toes down to heels. Symptoms declined pins and
088612 - needles tingling in evening, when feet are elevated in reclining
088613 - chair. Restless legs has not occurred for awhile, maybe because
088614 - hiking has declined considerably.
088616 - ..
088617 - Pain medication limitations reported in case study on 200101 0701.
088618 - ref SDS 21 KS5O
088620 - ..
088621 - Swallowing - seems better today, eating more slowly. Before starting
088622 - hike difficult injesting medication pills with few bites avocado,
088623 - mayonaise, margarine and peanut butter. After hike had to extend time
088624 - to swallow food to several hours.
088626 - ..
088627 - Reflux slept in bed all night, after EGD dilation on 260421 0830.
088628 - ref SDS C0 1X6F
088629 -
088630 -
088631 -
088632 -
088634 - ..
088635 - Kardia recorded HR 043 at 0907, Possible Atrial Fibrillatrion, looks
088636 - mostly variable heart beat lengths with p-waves and no artifact,
088637 - likely no AFL after hiking 12 miles temp 91 yesterday, per above,
088638 - ref SDS 0 EJ8H, and diagnosed ischemic colitis on 200612 0700,
088639 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th
088640 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.
088641 - ref SDS 73 NA4H Medical history case study on 200101 0701.
088642 - ref SDS 21 TSYT
088643 -
088644 -
088645 - pix: 950 450
088646 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260725-ecg-090714_mile_00_043_paf_vrbl.pdf
088647 -
088648 -
088649 -
088650 -
088652 - ..
088653 - Post hike HR profile beginning 1957, aligns with indoor activity after
088654 - hiking 00 miles with temperature __, and showing no continuous
088655 - extended period steady elevated HR > 130, indicates no AFL, and no
088656 - possible atrial fibrillation, and after stopping Apixaban on 240711,
088657 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
088658 - patient history on 200101 0701. ref SDS 21 TSYT
088659 -
088661 - ..
088662 - 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
088663 - 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
088664 - 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
088665 - 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
088666 - 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
088667 - 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
088668 -
088669 -
088670 - https://flow.polar.com/training/analysis/8386438981
088672 - ..
088673 - HRV seems 20% 0 and 40% good and 40% poor overnight Polar HR report...
088674 -
088676 - 
088677 -
088678 -
088680 - ..
088681 - Breakfast - eggs toast cottage cheese tomato
088682 - Lunch -
088683 - Dinner - steak brocolli asparagus cauliflower onion potato
088685 - ..
088686 - 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
088687 -
088688 -
088689 -
088690 -
088691 -
088692 -
088693 -
088694 -
088695 -
088696 -
088697 -
088698 -
088699 -
088700 -
088701 -
088702 -
088703 -
088704 -
088705 -
088706 -
088707 -
088708 -
088709 -
088710 -
088711 -
088712 -
088714 - ..
088715 - H I K I N G
088716 - M E D I C A T I O N Miles Time V I T A L S
088717 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
088718 - ====================================================================================
088719 - Sunday
088720 - 132. 260726 0720............................................. summary vitals, ref SDS 21 9HIW
088721 - 0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
088722 - 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
088723 - 0730....BP HR..................................................... 169 83 48 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
088724 - 0735....BP HR..................................................... 193 86 62
088725 - 0740....BP HR..................................................... 175 75 53
088726 - 0745....weight.................................... 189
088727 - 0745....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
088728 - 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
088729 - 0000...
088730 - ..
088731 - 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
088732 - 1830............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
088733 - 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
088734 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
088735 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
088736 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
088737 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
088738 - 0000... 10 60 Cyclobenzaprine sleep aid
088739 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
088740 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
088741 -
088743 - ..
088744 - Could not hike today, because another large section of callus came
088745 - loose on left foot #1, leaving a wound still healing.
088747 - ..
088748 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
088749 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
088751 - ..
088752 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
088753 - pain no longer in toes down to heels. Symptoms declined pins and
088754 - needles tingling in evening, when feet are elevated in reclining
088755 - chair. Restless legs has not occurred for awhile, maybe because
088756 - hiking has declined considerably.
088758 - ..
088759 - Pain medication limitations reported in case study on 200101 0701.
088760 - ref SDS 21 KS5O
088762 - ..
088763 - Swallowing - seems better today, eating more slowly.
088765 - ..
088766 - Reflux slept in bed all night, after EGD dilation on 260421 0830.
088767 - ref SDS C0 1X6F
088768 -
088769 -
088770 -
088771 -
088773 - ..
088774 - Kardia recorded HR 049 at 0925, Possible Atrial Fibrillatrion, looks
088775 - mostly variable heart beat lengths with p-waves and no artifact,
088776 - likely no AFL after hiking 00 miles temp __ yesterday, per above,
088777 - ref SDS 0 6TCW, and diagnosed ischemic colitis on 200612 0700,
088778 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th
088779 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.
088780 - ref SDS 73 NA4H Medical history case study on 200101 0701.
088781 - ref SDS 21 TSYT
088782 -
088783 -
088784 - pix: 950 450
088785 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260726-ecg-092525_mile_00_049_paf_vrbl.pdf
088786 -
088787 -
088788 -
088790 - ..
088791 - Post hike HR profile beginning 1847, aligns with indoor activity after
088792 - hiking 00 miles with temperature __, and showing no continuous
088793 - extended period steady elevated HR > 130, indicates no AFL, and no
088794 - possible atrial fibrillation, and after stopping Apixaban on 240711,
088795 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
088796 - patient history on 200101 0701. ref SDS 21 TSYT
088797 -
088799 - ..
088800 - 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
088801 - 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
088802 - 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
088803 - 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
088804 - 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
088805 - 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
088806 -
088807 -
088808 - https://flow.polar.com/training/analysis/8386854563
088810 - ..
088811 - HRV seems 0% 0 and 40% good and 60% poor overnight Polar HR report...
088812 -
088814 - 
088815 -
088816 -
088818 - ..
088819 - Breakfast - cheerios strawberries milk
088820 - Lunch -
088821 - Dinner - steak brocolli asparagus cauliflower onion potato
088823 - ..
088824 - Vomiting: 0% dinner - bloating PL 5 - 30% difficulty swallowing - morning stomach pain felt like vomitting, but didn't
088825 -
088826 -
088827 -
088828 -
088829 -
088830 -
088831 -
088832 -
088833 -
088834 -
088835 -
088836 -
088837 -
088838 -
088839 -
088840 -
088841 -
088842 -
088843 -
088844 -
088845 -
088846 -
088847 -
088848 -
088849 -
088850 -
088852 - ..
088853 - H I K I N G
088854 - M E D I C A T I O N Miles Time V I T A L S
088855 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
088856 - ====================================================================================
088857 - Monday
088858 - 132. 260727 0310............................................. summary vitals, ref SDS 21 9HIW
088859 - 0310....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
088860 - 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
088861 - 0330....BP HR..................................................... 161 77 46 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
088862 - 0335....BP HR..................................................... 177 76 44
088863 - 0340....BP HR..................................................... 160 75 50
088864 - 0345....weight.................................... 188
088865 - 0535....Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
088866 - 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
088867 - 0535... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
088868 - 0535....Avocado to increase HDL - 1/4th
088869 - 0535....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)
088870 - 0325....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N
088871 - 0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL
088872 - 0535....Naproxen 500 mg took 1 pill cut in half to aid swallowing
088873 - 0535... 05 CoQ10 Ubiquinol Liquid - increases energy
088874 - 0535....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses
088875 - 0000...
088876 - ..
088877 - 0554....miles........... 6.0 6.0 100 100 minutes temp 53 wind 15 rain 0% light
088878 - 0000....................................................
088879 - 0000....mile 06 stopped EKG ... banana potassium and aids swallowing medication pills slip through contracted LESV
088880 - 0000....Naproxen 500 mg took 1 pill
088881 - 0000... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
088882 - 0000... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
088883 - 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
088884 - 0000... Nuun Electrolytes Pill
088885 - 0000... 20 4060 CoQ10 Ubiquinol Liquid
088886 - 0000....................................................
088887 - 0700... Hike ends mile 06... ref SDS 0 ZHGF
088888 - 0000...
088889 - 1515....weight.................................... 182 lost 5#
088890 - 1530....BP HR..................................................... 134 77 103
088891 - 1539....BP HR..................................................... 131 74 102
088892 - 1555....BP HR..................................................... 135 80 101
088893 - 0000...
088894 - ..
088895 - 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
088896 - 1830............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
088897 - 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
088898 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
088899 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
088900 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
088901 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
088902 - 0000... 10 60 Cyclobenzaprine sleep aid
088903 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
088904 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
088905 -
088907 - ..
088908 - Could not hike today, because another large section of callus came
088909 - loose on left foot #1, leaving a wound still healing.
088911 - ..
088912 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
088913 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
088915 - ..
088916 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
088917 - pain no longer in toes down to heels. Symptoms declined pins and
088918 - needles tingling in evening, when feet are elevated in reclining
088919 - chair. Restless legs has not occurred for awhile, maybe because
088920 - hiking has declined considerably.
088922 - ..
088923 - Pain medication limitations reported in case study on 200101 0701.
088924 - ref SDS 21 KS5O
088926 - ..
088927 - Swallowing - seems better today, eating more slowly.
088929 - ..
088930 - Reflux slept in bed all night, after EGD dilation on 260421 0830.
088931 - ref SDS C0 1X6F
088932 -
088934 - ..
088935 - Summary... before starting had difficulty swallowing nutrition,
088936 - hydration and medications for hiking. Temperature 53 degress wind 15
088937 - made hike less difficult. This was minimal hike to test healing of
088938 - wound on left foot #1 edge and wrapping benath toe, after peeling
088939 - large callus on 260725, per above. ref SDS 0 TI2H After taking 1
088940 - Naproxen 500 mg to start hike, there was PL 0 entire 4 miles. Could
088941 - have gone further, but had to return in time for meeting with Primary
088942 - Care in Medical practice at 0730. Wore new Hoka model Gaviota 6 shoes
088943 - larger size 11.5 extra wide seems less traumatic than Bondi 9 size
088944 - 10.5 extra wide.
088945 -
088946 -
088948 - ..
088949 - Pain Location Pain Level % of Hike
088950 - ----------------------------------------- ---------- ---------
088951 - Stomach pain ischemic colitis bloating....... 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
088952 - 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
088953 - Hands cramping hurting - post hike........... 0 100 hands and thumbs cramping 2 hours after hike
088954 - Hands flinching post hike muscle spasms...... 0 100
088955 - Chest pain................................... 0 100 began about mile 8, taking Tramadol and Gabapenin mile 11helped
088956 - 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
088957 - Breathing ARDS............................... 0 100 difficulty breathing due to grade and length
088958 - Trapezius right side neck/shoulder........... 0 100 no recurrance today momentarily last half hike turning body and head left or right
088959 - Spine below neck lift left or right arm...... 0 100 did not occur today, but not a factor if head held steady
088960 - Neck turning head/chest left or right........ 0 100 episodes mile 18+ took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00
088961 - 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
088962 - Bicep tendon strain across elbow right arm... 0 100
088963 - 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
088964 - Hands sunburned itching rash................. 0 100 omitted sunblock today 260512, just forgot
088965 - Hip left..................................... 0 100 noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped
088966 - Back......................................... 0 100
088967 - Hip right.................................... 0 100
088968 - Shin splint pain both legs................... 0 100
088969 - Knee left skin lesions left side............. 0 100
088970 - 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
088971 - Knee left patalla...PRP 210705............... 0 100
088972 - Knee buckling left..PRP 191209.240108........ 0 100 began coming down Ygnacio Valley Road about mile 22 - intermittant
088973 - Knee left anterior cruciate ligament......... 0 100 same as knee buckling
088974 - Knee right cruciate ligament back of knee.... 0 100
088975 - 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
088976 - Achilees tendon right leg collaps/buckling... 0 100 did not recur today
088977 - Quadraceps both legs......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
088978 - Hamstring tendon left leg.PRP 210705......... 0 100
088979 - Hamstring left leg........................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
088980 - Hamstring right leg.......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
088981 - Calf left.................................... 0 100
088982 - Tailor's Bunion left foot.. PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
088983 - Tailor's Bunion right foot..PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
088984 - Plantar plate right foot..................... 0 100
088985 - Electric shocks middle 3 toes right foot..... 0 100 occurred intermittanly for minutes maybe twice
088986 - Metatarsalgia left foot...PRP 260403......... 0 100 PRP 260403 may be curing this injury
088987 - Metatarsalgia right foot..PRP 260403......... 0 100 PRP 260403 may be curing this injury
088988 - new Right foot fat pad below #3 & #4,,,,,,,,,,... 0 100 PRP 260403 may be curing this injury
088989 - 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
088990 - Planarfaciitis right foot..240213............. 0 100
088991 - Feet bottom soles hurt socks worn out........ 0 100
088992 - 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
088993 - Ankle left achilles heel on 220416........... 0 100 left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today
088994 - Ankle right pain on 200407 and 231203........ 0 100 xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal
088995 - Foot right possible fracture 200917......... 0 100 CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831
088996 - Hallux Valgus right foot..................... 0 100 seems stable despite hiking therapeutic miles
088997 - Cut big right foot........................... 0 100 Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316
088998 - 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.
088999 - Callus big toe right foot...PRP 210705....... 0 100 peeled large callus just before hike - stable no pain for multiple months
089000 - Blister below big toe right foot............. 0 100
089001 - Blister below big toe left foot.............. 0 100 new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725
089002 - 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
089003 - 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
089004 - Blister forefoot toes right foot............. 0 100
089005 - 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
089006 - 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
089007 - 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
089008 - 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,
089009 - Blister ring toe left foot.new 240602........ 0 100 seems healed today on 240626
089010 - 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
089011 - 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
089012 - 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
089013 - Blister top foot at toe line left foot....... 0 100
089014 - 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
089015 - 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
089016 - Blister top long and middle toes left foot... 0 100
089017 - 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
089018 - 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
089019 - Diabetes toes both feet inflamed, itch....... 0 100 Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms
089020 - 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
089021 - Peripheral neruopathy top left hand.......... 0 100 worse after 2 miles and calmed by mile 8
089022 - Peripheral neruopathy top right hand......... 0 100 worse after 2 miles and calmed by mile 8
089023 - Veering left................................. 0 100 veering left about mile 15 last 5 miles
089024 - Veering right ............................... 0 100
089025 - Fall......................................... 0 100
089026 - Restless legs................................ 0 100
089027 - AFL...5th ablation on 231214................. 0 100 Polar shows no AFL entire hike
089028 - 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
089029 - Wasted - very fatigued....................... 0 100 and 2 hours good speed last 4 miles
089030 - Hiker's rash vasculitis.see 210618........... 0 100 after hike quads show heat rash
089031 -
089032 -
089034 - ..
089035 - Shoes see case study on 200101 0701. ref SDS 21 SO4L Today,
089036 - experimented wearing new Hoka Gaviota 6 shoes size 11.5 width 4E,
089037 - purchased on 260714 0931. ref SDS C4 IK1V These shoes lack Brooks
089038 - Ghost polyvinyl forefoot cover with woven gaps that provide elastic
089039 - "give" to control lateral pressure and pain on forefeet by loosely
089040 - tightening the first three eyelets. Gaviota 6 also have less
089041 - cushioning than Bondi 9s. They are a size larger than 10.5 to
089042 - hopefully cause less lateral on pressure both feet #1s and #5s than
089043 - has been case for Brooks Ghost and Hoka Bondi 9s; but, maybe slightly
089044 - more pressure bottom forefeet possibly causing increased
089045 - metatarsalgia. Hike ended at mile 4, so Gaviota 6 shoes did not begin
089046 - losing control of feet, i.e., sliping sideways - could be imagination,
089047 - as occurred on 12 mile hike 260724, per above. ref SDS 0 SBAT
089049 - ..
089050 - Callus Injuries - have peeled large sections of callus on left foot #1
089051 - edge and bottom of toe, completed on 260725, per above. ref SDS 0 TI2H
089052 - PL 0 entire hike, though only 4 miles.
089054 - ..
089055 - Socks see case study on 200101 0701. ref SDS 21 0S6N Wore 1 pair
089056 - single ply wool socks.
089057 -
089058 -
089060 - ..
089061 - San Francisco 4 mile route, reported on 170519, ref SDS 9 WTRS -
089062 - before leaving house in Concord took Glucosamine Chondroitin for OA
089063 - protection, mainly left knee treated with PRP intra articular
089064 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,
089065 - and also left hip. ref SDS 0 DHWP Before starting hike at hospital,
089066 - took 1 Naproxen 500 mg, for pain management, and took 2 Magnesium
089067 - Complex 300 mg pills for energy; and to absorb lactic acid for pain
089068 - management, and resolve inflammation to enable HDL to increase that
089069 - together with EPCs regress plaque in blood vessels, see research on
089070 - 200101 0701, ref SDS 21 QP6L Also took 1 COQ10 pill for energy - was
089071 - not difficult swallowing these large pills whole, recommended by
089072 - manufacturer, because swallowed with food, and despite EGD has not
089073 - been dilated LESV since 260421 0830, ref SDS C0 UN5Q, see report
089074 - clogging LESV on 240824. ref SDS 39 PPTU Had small amount peanut
089075 - butter and margarine, and Mayonnaise, and had some avocado for HDL,
089076 - ...and took 5 ml liquid Ubiquinol CoQ10 - all per above. ref SDS 0
089077 - 9PQG CoQ10 is an enzyme produced in the body that supports an
089078 - electron transport chain (ETC) giving human cells energy - see case
089079 - study on 200101 0701. ref SDS 21 136K No breakfast reduces bloating
089080 - feeling, but still bloated starting hike today, from ischemic colitis
089081 - caused by taking statins and other drugs, also symptomatic of
089082 - diabetes, and atrial fibrillation, and since 6th cardiac ablation on
089083 - 240611, variable heart rate may occur from dysfunctional autonomic
089084 - nervous system (see analysis on 250114 1202, ref SDS 73 PQ5Y). Did
089085 - not Take backpack to carry stuff because extra weight increases damage
089086 - and pain to feet injuries. Temperature mild 53 and strong Southerly
089087 - wind 15 mph. Departed VAMCSF campus starting to get light at 0554.
089088 - Hiked slowly downhill on 42nd Street to warm up. Turned corner
089089 - heading downhill West on Point Lobos to Cliff House at mile 1. Road
089090 - bends and changes to "Great Highway" going South along ocean beach.
089091 - Pace picked up as CoQ10 and magnesium was digested and increased
089092 - strength. At mile 2, turned onto John F Kennedy (JFK) Drive entering
089093 - Golden Gate Park. Decided to turn around and head back because this
089094 - was a test to evaluate recovery from wound on left foot #1 after
089095 - removing 2nd piece of edge callus that wraps onto bottom of toe, which
089096 - occurred 2 days ago on 260725, per above. ref SDS 0 TI2H At ocean,
089097 - turned North onto Great Highway. Hiked parallel to Ocean Beach toward
089098 - the Cliff House and hospital. Halfway to Cliff House had liquid CoQ10
089099 - for energy. Pace slowed hiking up steep hill - 5% - 9% grade - did
089100 - not stop. About mile 3 breathing through mouth - dyspnea - today, At
089101 - the Cliff House, turned onto Point Lobos Avenue going East; hiked
089102 - uphill for 1 mile. Mile 3.5 breathing through nose again. Turned
089103 - onto 42nd street and hiked up final hill to the VA campus. Ended hike
089104 - mile 04, time 0700 temp 58, wind 12, bloating PL 5, energy deficit PL
089105 - 4, feet metatarsalgia PL 0, burning sensation PL 0, left foot #1 PL 0,
089106 - #5 PL 0. Right foot #5 PL 0, and #1 PL 0. EKG variable with mild
089107 - artifact, Kardia reported HR 111 Tachycardia - see below. ref SDS 0
089108 - ZHGF
089109 -
089110 -
089111 -
089112 -
089113 -
089114 -
089115 -
089116 -
089118 - ..
089119 - Kardia recorded HR 044 at 0334, Possible Atrial Fibrillatrion, looks
089120 - mostly variable heart beat lengths with p-waves and no artifact,
089121 - likely no AFL after hiking 00 miles temp __ yesterday, per above,
089122 - ref SDS 0 B4XH, and diagnosed ischemic colitis on 200612 0700,
089123 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th
089124 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.
089125 - ref SDS 73 NA4H Medical history case study on 200101 0701.
089126 - ref SDS 21 TSYT
089127 -
089128 -
089129 - pix: 950 450
089130 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260727-ecg-033445_mile_00_044_paf_vrbl.pdf
089131 -
089132 -
089133 -
089134 -
089136 - ..
089137 - Polar HR GPS study *** low accuracy GPS used *** in San Francisco
089138 - California, hike 04 miles with max temperature 58, - Medical history
089139 - case study on 200101 0701. ref SDS 21 118K After the hike continued
089140 - walking another 2 miles through the hospital going to Podiatry,
089141 - Cardiology, the lab, Medical Practice, back to Podiatry, back to the
089142 - lab, and then to the car in the parking lot.
089143 -
089144 - ..
089145 - x
089146 - Reported Samsung GPS mileage...
089147 - x x A
089148 - x x x
089149 - 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
089150 - 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
089151 - 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
089152 - 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
089153 - 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
089154 - 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
089155 - 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
089156 - 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
089157 -
089158 -
089159 -
089160 - https://flow.polar.com/training/analysis/8387160007
089161 -
089163 - ..
089165 - 
089166 -
089167 -
089168 -
089170 - ..
089171 - End hike EKG at mile 04, time 0700 HR 122 temp 53, wind 15 - Kardia
089172 - reported Tachycardia... looks sinus mostly uniform with mild artifact
089173 - - medical history case study on 200101 0701. ref SDS 21 TSYT
089174 -
089175 -
089176 - pix: 950 450
089177 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260727-ecg-070023_mile_04_111_tcy_unfm.pdf
089178 -
089180 - ..
089181 - After the hike continued walking another 2 miles through the hospital
089182 - going to Podiatry, Cardiology, the lab, Medical Practice, back to
089183 - Podiatry, back to the lab, and then to the car in the parking lot.
089184 -
089185 -
089187 - ..
089188 - Post hike HR profile beginning 2026, aligns with indoor activity after
089189 - hiking 06 miles with temperature 63, and showing no continuous
089190 - extended period steady elevated HR > 130, indicates no AFL, and no
089191 - possible atrial fibrillation, and after stopping Apixaban on 240711,
089192 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
089193 - patient history on 200101 0701. ref SDS 21 TSYT
089194 -
089196 - ..
089197 - 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
089198 - 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
089199 - 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
089200 - 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
089201 - 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
089202 - 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
089203 -
089204 -
089205 - https://flow.polar.com/training/analysis/8387671222
089207 - ..
089208 - HRV seems 0% 0 and 50% good and 50% poor overnight Polar HR report...
089209 -
089211 - 
089212 -
089213 -
089215 - ..
089216 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds before hike
089217 - Lunch - half sandwich roast beef onion pickle
089218 - Dinner - steak brocolli asparagus cauliflower onion potato
089220 - ..
089221 - Vomiting: 0% dinner - bloating PL 5 - 30% difficulty swallowing - morning stomach pain felt like vomitting, but didn't
089222 -
089223 -
089224 -
089225 -
089226 -
089227 -
089228 -
089229 -
089230 -
089231 -
089232 -
089233 -
089234 -
089235 -
089236 -
089237 -
089238 -
089239 -
089240 -
089241 -
089242 -
089243 -
089244 -
089245 -
089246 -
089247 -
089249 - ..
089250 - H I K I N G
089251 - M E D I C A T I O N Miles Time V I T A L S
089252 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
089253 - ====================================================================================
089254 - Tuesday
089255 - 132. 260728 0710............................................. summary vitals, ref SDS 21 9HIW
089256 - 0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
089257 - 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
089258 - 0725....BP HR..................................................... 155 74 46 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
089259 - 0730....BP HR..................................................... 156 69 72
089260 - 0735....BP HR..................................................... 152 61 60
089261 - 0740....weight.................................... 187
089262 - 0735....Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
089263 - 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
089264 - 0000...
089265 - ..
089266 - 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
089267 - 1830............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
089268 - 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
089269 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
089270 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
089271 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
089272 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
089273 - 0000... 10 60 Cyclobenzaprine sleep aid
089274 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
089275 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
089276 -
089278 - ..
089279 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
089280 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
089282 - ..
089283 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
089284 - pain no longer in toes down to heels. Symptoms declined pins and
089285 - needles tingling in evening, when feet are elevated in reclining
089286 - chair. Restless legs has not occurred for awhile, maybe because
089287 - hiking has declined considerably.
089289 - ..
089290 - Pain medication limitations reported in case study on 200101 0701.
089291 - ref SDS 21 KS5O
089293 - ..
089294 - Swallowing - seems better today, eating more slowly.
089296 - ..
089297 - Reflux slept in bed, but woke up aspirating OA 0430; tried sleeping
089298 - in recliner chair, had to get up and work.
089299 -
089300 -
089301 -
089302 -
089304 - ..
089305 - Kardia recorded HR 044 at 0942, Possible Atrial Fibrillatrion, looks
089306 - mostly variable heart beat lengths with p-waves and no artifact,
089307 - likely no AFL after hiking 04 miles temp 53 yesterday, per above,
089308 - ref SDS 0 9PQG, and diagnosed ischemic colitis on 200612 0700,
089309 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th
089310 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.
089311 - ref SDS 73 NA4H Medical history case study on 200101 0701.
089312 - ref SDS 21 TSYT
089313 -
089314 -
089315 - pix: 950 450
089316 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260728-ecg-094244_mile_00_063_paf_vrbl.pdf
089317 -
089318 -
089319 -
089321 - ..
089322 - Post hike HR profile beginning 2014, aligns with indoor activity after
089323 - hiking 00 miles with temperature __, and showing no continuous
089324 - extended period steady elevated HR > 130, indicates no AFL, and no
089325 - possible atrial fibrillation, and after stopping Apixaban on 240711,
089326 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
089327 - patient history on 200101 0701. ref SDS 21 TSYT
089328 -
089330 - ..
089331 - 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
089332 - 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
089333 - 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
089334 - 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
089335 - 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
089336 - 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
089337 -
089338 -
089339 - https://flow.polar.com/training/analysis/8388296177
089341 - ..
089342 - HRV seems 10% 0 and 30% good and 60% poor overnight Polar HR report...
089343 -
089345 - 
089346 -
089347 -
089349 - ..
089350 - Breakfast - eggs roast beef onion toast avocado cottage cheese
089351 - Lunch -
089352 - Dinner - steak brocolli asparagus cauliflower onion potato
089354 - ..
089355 - Vomiting: 0% dinner - bloating PL 6 - 30% aspirited had to get up OA 0430 - didn't vomit
089356 -
089357 -
089358 -
089359 -
089360 -
089361 -
089362 -
089363 -
089364 -
089365 -
089366 -
089367 -
089368 -
089369 -
089370 -
089371 -
089372 -
089373 -
089374 -
089375 -
089376 -
089377 -
089378 -
089379 -
089380 -
089381 -
089382 -
089384 - ..
089385 - H I K I N G
089386 - M E D I C A T I O N Miles Time V I T A L S
089387 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
089388 - ====================================================================================
089389 - Wednesday
089390 - 132. 260729 0450............................................. summary vitals, ref SDS 21 9HIW
089391 - 0500....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
089392 - 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
089393 - 0515....BP HR..................................................... 179 69 48 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
089394 - 0520....BP HR..................................................... 184 74 49
089395 - 0525....BP HR..................................................... 175 79 48
089396 - 0530....weight.................................... 189
089397 - 0605....Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
089398 - 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
089399 - 0605... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
089400 - 0605....Avocado to increase HDL - 1/4th
089401 - 0605....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)
089402 - 0605....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N
089403 - 0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL
089404 - 0635....Naproxen 500 mg took 1 pill cut in half to aid swallowing
089405 - 0635... 05 CoQ10 Ubiquinol Liquid - increases energy
089406 - 0635....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses
089407 - 0000...
089408 - ..
089409 - 0642....miles........... 17.0 23.0 274 374 minutes temp 85 wind 11 rain 0% light
089410 - 0000....................................................
089411 - 0000....mile 06 stopped EKG ... banana potassium and aids swallowing medication pills slip through contracted LESV
089412 - 0000....Naproxen 500 mg took 1 pill
089413 - 0000... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
089414 - 0000... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
089415 - 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
089416 - 0000... Nuun Electrolytes Pill
089417 - 0000... 20 4060 CoQ10 Ubiquinol Liquid
089418 - 0000....................................................
089419 - 1137... Hike ends mile 17... ref SDS 0 ZHGF
089420 - 0000...
089421 - 1215....weight.................................... 182 lost 5#
089422 - 1220....BP HR..................................................... 127 84 107
089423 - 1226....BP HR..................................................... 147 77 97
089424 - 1555....BP HR..................................................... 118 82 85
089425 - 0000...
089426 - ..
089427 - 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
089428 - 0000............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
089429 - 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
089430 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
089431 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
089432 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
089433 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
089434 - 0000... 10 60 Cyclobenzaprine sleep aid
089435 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
089436 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
089437 -
089439 - ..
089440 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
089441 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
089443 - ..
089444 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
089445 - pain no longer in toes down to heels. Symptoms declined pins and
089446 - needles tingling in evening, when feet are elevated in reclining
089447 - chair. Restless legs has not occurred for awhile, maybe because
089448 - hiking has declined considerably.
089450 - ..
089451 - Pain medication limitations reported in case study on 200101 0701.
089452 - ref SDS 21 KS5O
089454 - ..
089455 - Swallowing - difficult - must eat very slowly, plenty liquid.
089457 - ..
089458 - Reflux slept in bed initially, aspirated OA 0430, tried sleeping in
089459 - recliner chair, got up and started work.
089460 -
089461 -
089463 - ..
089464 - Summary... before starting had difficulty swallowing nutrition,
089465 - hydration and medications for hiking, due to rising achalasia
089466 - swallowing deficit, with aspiration, reported to Doctor Lee through
089467 - Gracie on 260716, requesting consideration for overbook to perform EGD
089468 - dilaiton on overbook before scheduled procedure on 260821 0830.
089469 - Leaving at 0642, temperature 54 wind 08 much cooler made hike less
089470 - difficult. Hike tested mostly successful new orthotic Powerstep
089471 - inserts received from VA 2 days ago, see, 260727 0900, ref SDS C6 ZID2
089472 - paired with Hoka Graviota 6 shoes there was minimal pain on edges of
089473 - #1s and #5s; however, the top of right foot #4 and #5 reached PL 4 at
089474 - end of hike. Started hike early this morning in order finish early to
089475 - sleep by OA 2000, to get up at 0100 tomorrow and drive back to VA
089476 - starting hike through park OA 0300, and return by 0700 in time to
089477 - enter the record and prepare for meeting with Doctor Tang at 0900 in
089478 - Podiatry.
089479 -
089481 - ..
089482 - Pain Location Pain Level % of Hike
089483 - ----------------------------------------- ---------- ---------
089484 - Stomach pain ischemic colitis bloating....... 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
089485 - 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
089486 - Hands cramping hurting - post hike........... 0 100 hands and thumbs cramping 2 hours after hike
089487 - Hands flinching post hike muscle spasms...... 0 100
089488 - Chest pain................................... 0 100 began about mile 8, taking Tramadol and Gabapenin mile 11helped
089489 - 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
089490 - Breathing ARDS............................... 0 100 difficulty breathing due to grade and length
089491 - Trapezius right side neck/shoulder........... 0 100 no recurrance today momentarily last half hike turning body and head left or right
089492 - Spine below neck lift left or right arm...... 0 100 did not occur today, but not a factor if head held steady
089493 - Neck turning head/chest left or right........ 0 100 episodes mile 18+ took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00
089494 - 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
089495 - Bicep tendon strain across elbow right arm... 0 100
089496 - 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
089497 - Hands sunburned itching rash................. 0 100 omitted sunblock today 260512, just forgot
089498 - Hip left..................................... 0 100 noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped
089499 - Back......................................... 0 100
089500 - Hip right.................................... 0 100
089501 - Shin splint pain both legs................... 0 100
089502 - Knee left skin lesions left side............. 0 100
089503 - 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
089504 - Knee left patalla...PRP 210705............... 0 100
089505 - Knee buckling left..PRP 191209.240108........ 0 100 began coming down Ygnacio Valley Road about mile 22 - intermittant
089506 - Knee left anterior cruciate ligament......... 0 100 same as knee buckling
089507 - Knee right cruciate ligament back of knee.... 0 100
089508 - 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
089509 - Achilees tendon right leg collaps/buckling... 0 100 did not recur today
089510 - Quadraceps both legs......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
089511 - Hamstring tendon left leg.PRP 210705......... 0 100
089512 - Hamstring left leg........................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
089513 - Hamstring right leg.......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
089514 - Calf left.................................... 0 100
089515 - Tailor's Bunion left foot.. PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
089516 - Tailor's Bunion right foot..PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
089517 - Plantar plate right foot..................... 0 100
089518 - Electric shocks middle 3 toes right foot..... 0 100 occurred intermittanly for minutes maybe twice
089519 - Metatarsalgia left foot...PRP 260403......... 0 100 PRP 260403 may be curing this injury
089520 - Metatarsalgia right foot..PRP 260403......... 0 100 PRP 260403 may be curing this injury
089521 - new Right foot fat pad below #3 & #4,,,,,,,,,,... 0 100 PRP 260403 may be curing this injury
089522 - 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
089523 - Planarfaciitis right foot..240213............. 0 100
089524 - Feet bottom soles hurt socks worn out........ 0 100
089525 - 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
089526 - Ankle left achilles heel on 220416........... 0 100 left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today
089527 - Ankle right pain on 200407 and 231203........ 0 100 xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal
089528 - Foot right possible fracture 200917......... 0 100 CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831
089529 - Hallux Valgus right foot..................... 0 100 seems stable despite hiking therapeutic miles
089530 - Cut big right foot........................... 0 100 Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316
089531 - 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.
089532 - Callus big toe right foot...PRP 210705....... 0 100 peeled large callus just before hike - stable no pain for multiple months
089533 - Blister below big toe right foot............. 0 100
089534 - Blister below big toe left foot.............. 0 100 new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725
089535 - 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
089536 - 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
089537 - Blister forefoot toes right foot............. 0 100
089538 - 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
089539 - 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
089540 - 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
089541 - 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,
089542 - Blister ring toe left foot.new 240602........ 0 100 seems healed today on 240626
089543 - 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
089544 - 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
089545 - 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
089546 - Blister top foot at toe line left foot....... 0 100
089547 - 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
089548 - 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
089549 - Blister top long and middle toes left foot... 0 100
089550 - 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
089551 - 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
089552 - Diabetes toes both feet inflamed, itch....... 0 100 Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms
089553 - 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
089554 - Peripheral neruopathy top left hand.......... 0 100 worse after 2 miles and calmed by mile 8
089555 - Peripheral neruopathy top right hand......... 0 100 worse after 2 miles and calmed by mile 8
089556 - Veering left................................. 0 100 veering left about mile 15 last 5 miles
089557 - Veering right ............................... 0 100
089558 - Fall......................................... 0 100
089559 - Restless legs................................ 0 100
089560 - AFL...5th ablation on 231214................. 0 100 Polar shows no AFL entire hike
089561 - 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
089562 - Wasted - very fatigued....................... 0 100 and 2 hours good speed last 4 miles
089563 - Hiker's rash vasculitis.see 210618........... 0 100 after hike quads show heat rash
089564 -
089565 -
089567 - ..
089568 - Shoes see case study on 200101 0701. ref SDS 21 SO4L Today,
089569 - experimented wearing new Hoka Gaviota 6 shoes size 11.5 width 4E,
089570 - purchased on 260714 0931. ref SDS C4 IK1V These shoes lack Brooks
089571 - Ghost polyvinyl forefoot cover with woven gaps that provide elastic
089572 - "give" to control lateral pressure and pain on forefeet by loosely
089573 - tightening the first three eyelets. Gaviota 6 also have less
089574 - cushioning than Bondi 9s. They are a size larger than 10.5 to
089575 - hopefully cause less lateral on pressure both feet #1s and #5s than
089576 - has been case for Brooks Ghost and Hoka Bondi 9s; but, maybe slightly
089577 - more pressure bottom forefeet possibly causing increased
089578 - metatarsalgia. Hike ended at mile 17; Gaviota 6 shoes did not begin
089579 - losing control of feet, i.e., sliping sideways. There was pressure on
089580 - top of left and right foot #4 and #5, mostly on right foot. Might be
089581 - due to new Powerstep orthotic inserts received from Doctor Hewitson at
089582 - VA Podiatry yesterday. Today, wore the set with more padding, see the
089583 - record on 260727 0900. ref SDS C6 ZID2
089585 - ..
089586 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin
089587 - with more padding to transfer load from forefeet to instep arch.
089589 - ..
089590 - Callus Injuries - have peeled large sections of callus on left foot #1
089591 - edge and bottom of toe, completed on 260725, per above. ref SDS 0 TI2H
089592 - PL 0 entire hike, though only 4 miles. For first time in a long
089593 - time, there was no evident lateral pressure on #1s and #5s, though
089594 - the top of #4 and #5 on right foot suffered PL 3, maybe PL #1 on left
089595 - foot.
089597 - ..
089598 - Socks see case study on 200101 0701. ref SDS 21 0S6N Wore 1 pair
089599 - single ply wool socks.
089600 -
089601 -
089603 - ..
089604 - Concord 17 mile route - took Glucosamine Chondroitin for OA
089605 - protection, mainly left knee treated with PRP intra articular
089606 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,
089607 - and also left hip, which flares few times a month, but not for a few
089608 - weeks. Took 1 Naproxen 500 mg for pain management - there is no
089609 - metatarsalgia pain in feet starting the hike today, and both feet #1
089610 - and #5 calluses both PL 0 - were shaved down by Doctor Tang in VAMC
089611 - Podiatry on 260702 0830. ref SDS C2 5H6F Took 4 Magnesium Complex 300
089612 - mg pills for energy and absorbing lactic acid that enable hiking, and
089613 - reduce inflammation, all enabling HDL to increase, and together with
089614 - EPCs regress plaque in blood vessels - see research on 200101 0701,
089615 - ref SDS 21 QP6L Also took 2 CoQ10 capsules for energy, and took 2
089616 - Turmeric Curcumin 2250 mg pills that resolve inflammation for HDL to
089617 - rise. Swallowed pills separately and whole combined with small amount
089618 - avocado, mayonaise, peanut butter and margarine - pills slip through
089619 - LESV much better when swallowed combined with chewed up food in mouth.
089620 - About 20 minutes later after dressing for hike, took liquid Turmeric
089621 - Curcumin and Ubiquinol CoQ10 per above. ref SDS 0 EJ7I CoQ10 is an
089622 - enzyme produced in the body that supports an electron transport chain
089623 - (ETC) giving human cells energy - see case study on 200101 0701.
089624 - ref SDS 21 136K No breakfast reduces bloating feeling starting hike
089625 - from ischemic colitis caused by taking statins and other drugs, also
089626 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -
089627 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H
089628 - Did not take backpack to carry stuff - good to build conditioning for
089629 - Half Dome - because extra weight increases pressure on feet injuries.
089630 - Now that feet injuries are on the wane, may resume taking backpack
089631 - after another few hikes. Did not hike the mile loop around the block
089632 - to start hike, which identifies bloating and feet wound issues that
089633 - can be treated back at the house before problems arise miles from
089634 - home. Hiked Cuneo .25 mile and turned left, onto Treat. Starting
089635 - hike feet feeling less swelled and like pins and needles - did not
089636 - feel electrical shocks in balls of feet this morning due to peripheral
089637 - neuropathy caused by statins, diabetes, and dysfunctional ANS.
089638 - Actually, these afflictions seem quiet the past week or so. Bottom of
089639 - both feet minor metatarsalgia pain - significant pain ( > 5 ) both
089640 - feet #1 and #5 has caused pausing hiking for injuries to heal past 30
089641 - days, see case study on 200101 0701. ref SDS 21 BGZV Breathed through
089642 - nose entire hike with no dyspnea, indicating conditioning has
089643 - sustained, despite minimal hiking last few months. Temperature
089644 - started at 65, and reached 85. East wind 11 mph and mostly 8 mph,
089645 - which was cooling. Continued East on Treat .5 miles. Turned right
089646 - hiking South on asphalt shoulder of Turtle Creek Road for 1.5 miles
089647 - mostly flat grade, some places 3% uphill, and very light traffic. Did
089648 - not hike across Newhall Community park and back today. Continued on
089649 - Turtle Creek Road uphill 4% grade. At end of Turtle Creek Road turned
089650 - left onto Ayers hiking East .75 miles on asphalt road shoulder. At
089651 - mile 3, turned right onto Clayton Road hiking South .5 miles on
089652 - asphalt pavement in parking lots of shopping complex. Did not stop at
089653 - Lucky store to buy banana with potassium that complements meds for
089654 - energy, and makes swallowing meds easier, because brought banana from
089655 - house today. Crossed Alberto Way at traffic light and continued on
089656 - concrete sidewalk .5 miles. Energy good - did not need to stop at
089657 - mile 4 time ____ in Mountain Mike's Pizza restaurant to take meds for
089658 - energy to hike. Turned right hiking West on Ygnacio Valley Road using
089659 - concrete sidewalk .5 miles. Continued hike crossing Park Highlands
089660 - Road at Stop Light and heading West .25 miles on asphalt shoulder.
089661 - Morning commute traffic very heavy, with higher risks. Crossed to
089662 - South side Ygnacio Valley Road hiking on wider shoulder. Continued
089663 - West past Stop Light at Michigan Boulevard. Hiked another .25 miles
089664 - to Chevron gas station and store. At mile 6, turned left onto Pine
089665 - Hollow. Hiked East 1 mile and turned around at Rolling Woods Way.
089666 - Hiked back to Ygnacio Valley Road. Turned left onto Campus Drive
089667 - hiking 1 mile West uphill 3% grade against wind 08 mph. The road
089668 - bends North. Turned left heading West on Ygnacio Valley road .50
089669 - mile. At Crystal Ranch Road, turned around and hiked back. Turned
089670 - onto Campus Drive again and hiked uphill 4% grade .3 mile. Reached
089671 - Visitor Parking California State University East Bay Concord Campus -
089672 - mile 12. Hiked 4 loops around main buildings - used exercise
089673 - equipment at back of buildings to do 20 partial pullups and pushups
089674 - each pass. On 1st loop saw Lisa briefly to say hello, while she was
089675 - setting up to take picture of dogs she walked today at the college.
089676 - Back at Visitor Parking mile 12, left the college heading North
089677 - downhill on Campus Drive. Turned left onto Ygnacio Valley Road.
089678 - Hiked West on flat grade .5 miles. At mile 13, turned South onto
089679 - Crystal Ranch Road hiking uphill 5% grade. After .25 mile turned
089680 - around and hiked back. Turned left heading West on Ygnacio Valley
089681 - road 1 mile uphill 3% grade against wind 12 mph - temp 85. At summit
089682 - turned around and hiked .5 mile back to Cowell. Turned left going 1
089683 - mile downhill, including .25 mile with no shoulder separating vehicle
089684 - traffic. Turned left onto Treat for .25 mile; turned right on Cunio
089685 - and home. Ended hike mile 17 time 1137 temp 85, wind 11, bloating PL
089686 - 6, energy deficit 2, feet metatarsalgia PL 2, left foot #1 edge PL 0,
089687 - #5 edge PL 0, right foot #1 PL 0, #5 PL 4, top #3, #4 blistering PL 3,
089688 - burning sensation PL 0. EKG sinus with moderate artifact, Kardia
089689 - reported HR 118 Tachycardia - see below. ref SDS 0 OPDZ
089690 -
089691 -
089692 -
089693 -
089694 -
089695 -
089696 -
089697 -
089699 - ..
089700 - Kardia recorded HR 044 at 0519, Unclassified, looks mostly variable
089701 - heart beat lengths with p-waves and minor artifact, likely no AFL
089702 - after hiking 00 miles temp __ yesterday, per above, ref SDS 0 L2ZN,
089703 - and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely
089704 - arising from dysfuncational ANS following 6th ablation on 240611,
089705 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H Medical
089706 - history case study on 200101 0701. ref SDS 21 TSYT
089707 -
089708 -
089709 - pix: 950 450
089710 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260729-ecg-051910_mile_00_050_ucl_vrbl.pdf
089711 -
089712 -
089713 -
089714 -
089716 - ..
089717 - Polar HR GPS study *** low accuracy GPS used *** in Concord.
089718 - California, hike 17 miles with max temperature 85, - Medical history
089719 - case study on 200101 0701. ref SDS 21 118K
089720 -
089721 - ..
089722 - x
089723 - Reported Samsung GPS mileage...
089724 - x x A
089725 - x x x
089726 - 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
089727 - 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
089728 - 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
089729 - 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
089730 - 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
089731 - 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
089732 - 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
089733 - 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
089734 -
089735 -
089736 -
089737 - https://flow.polar.com/training/analysis/8388582821
089738 -
089740 - ..
089742 - 
089743 -
089744 -
089745 -
089747 - ..
089748 - End hike EKG at mile 17, time 1137 HR 122 temp 53, wind 15 - Kardia
089749 - reported Tachycardia... looks sinus mostly uniform with moderate
089750 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT
089751 -
089752 -
089753 - pix: 950 450
089754 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260729-ecg-113734_mile_17_118_tcy_unfm.pdf
089755 -
089756 -
089757 -
089758 -
089760 - ..
089761 - Post hike HR profile beginning 1954, aligns with indoor activity after
089762 - hiking 17 miles with temperature 85, and showing no continuous
089763 - extended period steady elevated HR > 130, indicates no AFL, and no
089764 - possible atrial fibrillation, and after stopping Apixaban on 240711,
089765 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
089766 - patient history on 200101 0701. ref SDS 21 TSYT
089767 -
089769 - ..
089770 - 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
089771 - 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
089772 - 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
089773 - 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
089774 - 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
089775 - 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
089776 -
089777 -
089778 - https://flow.polar.com/training/analysis/8388876937
089780 - ..
089781 - HRV seems 10% 0 and 60% good and 30% poor overnight Polar HR report...
089782 -
089784 - 
089785 -
089786 -
089788 - ..
089789 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds
089790 - Lunch -
089791 - Dinner - steak brocolli asparagus cauliflower onion potato
089793 - ..
089794 - Vomiting: 0% dinner - bloating PL 6 - 30% aspirited had to get up OA 0430 - didn't vomit
089795 -
089796 -
089797 -
089798 -
089799 -
089800 -
089801 -
089802 -
089803 -
089804 -
089805 -
089806 -
089807 -
089808 -
089809 -
089810 -
089811 -
089812 -
089813 -
089814 -
089815 -
089816 -
089817 -
089818 -
089819 -
089820 -
089821 -
089823 - ..
089824 - H I K I N G
089825 - M E D I C A T I O N Miles Time V I T A L S
089826 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
089827 - ====================================================================================
089828 - Thursday
089829 - 132. 260730 0210............................................. summary vitals, ref SDS 21 9HIW
089830 - 0210....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
089831 - 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
089832 - 0220....BP HR..................................................... 159 89 57 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
089833 - 0225....BP HR..................................................... 156 90 56
089834 - 0230....BP HR..................................................... 168 60 54
089835 - 0235....weight.................................... 187
089836 - 0405....Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
089837 - 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
089838 - 0405... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
089839 - 0405....Avocado to increase HDL - 1/4th
089840 - 0405....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)
089841 - 0405....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N
089842 - 0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL
089843 - 0435....Naproxen 500 mg took 1 pill cut in half to aid swallowing
089844 - 0435... 05 CoQ10 Ubiquinol Liquid - increases energy
089845 - 0435....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses
089846 - 0000...
089847 - ..
089848 - 0435....miles........... 11.0 44.0 180 554 minutes temp 58 wind 12 rain 0% light
089849 - 0000....................................................
089850 - 0600....mile 06 stopped EKG ...
089851 - 0000....Naproxen 500 mg took 1 pill
089852 - 0600... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
089853 - 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
089854 - 0000... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
089855 - 0000... Nuun Electrolytes Pill
089856 - 0000... 20 4060 CoQ10 Ubiquinol Liquid
089857 - 0000....................................................
089858 - 0736... Hike ends mile 11... ref SDS 0 ECRH
089859 - 0000...
089860 - 0747....weight.................................... 184 lost 3#
089861 - 0750....BP HR..................................................... 142 62 117
089862 - 0755....BP HR..................................................... 138 67 107
089863 - 0800....BP HR..................................................... 144 72 98
089864 - 0000...
089865 - ..
089866 - 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
089867 - 1830............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
089868 - 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
089869 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
089870 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
089871 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
089872 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
089873 - 0000... 10 60 Cyclobenzaprine sleep aid
089874 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
089875 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
089876 -
089878 - ..
089879 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
089880 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
089882 - ..
089883 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
089884 - pain no longer in toes down to heels. Symptoms declined pins and
089885 - needles tingling in evening, when feet are elevated in reclining
089886 - chair. Restless legs has not occurred for awhile, maybe because
089887 - hiking has declined considerably.
089889 - ..
089890 - Pain medication limitations reported in case study on 200101 0701.
089891 - ref SDS 21 KS5O
089893 - ..
089894 - Swallowing - difficult - must eat very slowly, plenty liquid.
089896 - ..
089897 - Reflux slept in bed initially, aspirated OA 0430, tried sleeping in
089898 - recliner chair, got up and started work.
089899 -
089900 -
089902 - ..
089903 - Summary... before starting had difficulty swallowing nutrition,
089904 - hydration and medications for hiking, due to rising achalasia
089905 - swallowing deficit, with aspiration. Only hiked to De Young - turned
089906 - around at mile 6, instead of on Stanyon, because started an hour late
089907 - in order to sleep until 0200. Hiked back uphill on Great Highway to
089908 - Cliff House and then on Point Lobos back to hospital went better than
089909 - on Monday - breathing through mouth maybe 20% less today, so slight
089910 - improvement. Hiking with new orthotic inserts received from Doctor
089911 - Hewitson on 260727, with Hoka Gaviota 6 shoes caused minimal lateral
089912 - pressure on edges of #1s and #5s, with moderate pressure on top of #4s
089913 - and #5s.
089914 -
089915 -
089917 - ..
089918 - Pain Location Pain Level % of Hike
089919 - ----------------------------------------- ---------- ---------
089920 - Stomach pain ischemic colitis bloating....... 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
089921 - 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
089922 - Hands cramping hurting - post hike........... 0 100 hands and thumbs cramping 2 hours after hike
089923 - Hands flinching post hike muscle spasms...... 0 100
089924 - Chest pain................................... 0 100 began about mile 8, taking Tramadol and Gabapenin mile 11helped
089925 - 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
089926 - Breathing ARDS............................... 0 100 difficulty breathing due to grade and length
089927 - Trapezius right side neck/shoulder........... 0 100 no recurrance today momentarily last half hike turning body and head left or right
089928 - Spine below neck lift left or right arm...... 0 100 did not occur today, but not a factor if head held steady
089929 - Neck turning head/chest left or right........ 0 100 episodes mile 18+ took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00
089930 - 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
089931 - Bicep tendon strain across elbow right arm... 0 100
089932 - 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
089933 - Hands sunburned itching rash................. 0 100 omitted sunblock today 260512, just forgot
089934 - Hip left..................................... 0 100 noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped
089935 - Back......................................... 0 100
089936 - Hip right.................................... 0 100
089937 - Shin splint pain both legs................... 0 100
089938 - Knee left skin lesions left side............. 0 100
089939 - 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
089940 - Knee left patalla...PRP 210705............... 0 100
089941 - Knee buckling left..PRP 191209.240108........ 0 100 began coming down Ygnacio Valley Road about mile 22 - intermittant
089942 - Knee left anterior cruciate ligament......... 0 100 same as knee buckling
089943 - Knee right cruciate ligament back of knee.... 0 100
089944 - 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
089945 - Achilees tendon right leg collaps/buckling... 0 100 did not recur today
089946 - Quadraceps both legs......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
089947 - Hamstring tendon left leg.PRP 210705......... 0 100
089948 - Hamstring left leg........................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
089949 - Hamstring right leg.......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
089950 - Calf left.................................... 0 100
089951 - Tailor's Bunion left foot.. PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
089952 - Tailor's Bunion right foot..PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
089953 - Plantar plate right foot..................... 0 100
089954 - Electric shocks middle 3 toes right foot..... 0 100 occurred intermittanly for minutes maybe twice
089955 - Metatarsalgia left foot...PRP 260403......... 0 100 PRP 260403 may be curing this injury
089956 - Metatarsalgia right foot..PRP 260403......... 0 100 PRP 260403 may be curing this injury
089957 - new Right foot fat pad below #3 & #4,,,,,,,,,,... 0 100 PRP 260403 may be curing this injury
089958 - 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
089959 - Planarfaciitis right foot..240213............. 0 100
089960 - Feet bottom soles hurt socks worn out........ 0 100
089961 - 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
089962 - Ankle left achilles heel on 220416........... 0 100 left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today
089963 - Ankle right pain on 200407 and 231203........ 0 100 xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal
089964 - Foot right possible fracture 200917......... 0 100 CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831
089965 - Hallux Valgus right foot..................... 0 100 seems stable despite hiking therapeutic miles
089966 - Cut big right foot........................... 0 100 Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316
089967 - 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.
089968 - Callus big toe right foot...PRP 210705....... 0 100 peeled large callus just before hike - stable no pain for multiple months
089969 - Blister below big toe right foot............. 0 100
089970 - Blister below big toe left foot.............. 0 100 new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725
089971 - 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
089972 - 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
089973 - Blister forefoot toes right foot............. 0 100
089974 - 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
089975 - 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
089976 - 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
089977 - 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,
089978 - Blister ring toe left foot.new 240602........ 0 100 seems healed today on 240626
089979 - 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
089980 - 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
089981 - 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
089982 - Blister top foot at toe line left foot....... 0 100
089983 - 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
089984 - 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
089985 - Blister top long and middle toes left foot... 0 100
089986 - 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
089987 - 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
089988 - Diabetes toes both feet inflamed, itch....... 0 100 Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms
089989 - 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
089990 - Peripheral neruopathy top left hand.......... 0 100 worse after 2 miles and calmed by mile 8
089991 - Peripheral neruopathy top right hand......... 0 100 worse after 2 miles and calmed by mile 8
089992 - Veering left................................. 0 100 veering left about mile 15 last 5 miles
089993 - Veering right ............................... 0 100
089994 - Fall......................................... 0 100
089995 - Restless legs................................ 0 100
089996 - AFL...5th ablation on 231214................. 0 100 Polar shows no AFL entire hike
089997 - 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
089998 - Wasted - very fatigued....................... 0 100 and 2 hours good speed last 4 miles
089999 - Hiker's rash vasculitis.see 210618........... 0 100 after hike quads show heat rash
090000 -
090001 -
090003 - ..
090004 - Shoes see case study on 200101 0701. ref SDS 21 SO4L Today,
090005 - experimented wearing new Hoka Gaviota 6 shoes size 11.5 width 4E,
090006 - purchased on 260714 0931. ref SDS C4 IK1V These shoes lack Brooks
090007 - Ghost polyvinyl forefoot cover with woven gaps that provide elastic
090008 - "give" to control lateral pressure and pain on forefeet by loosely
090009 - tightening the first three eyelets. Gaviota 6 also have less
090010 - cushioning than Bondi 9s. They are a size larger than 10.5 to
090011 - hopefully cause less lateral on pressure both feet #1s and #5s than
090012 - has been case for Brooks Ghost and Hoka Bondi 9s; but, maybe slightly
090013 - more pressure bottom forefeet possibly causing increased
090014 - metatarsalgia. Hike ended at mile 17; Gaviota 6 shoes did not begin
090015 - losing control of feet, i.e., sliping sideways. There was pressure on
090016 - top of left and right foot #4 and #5, mostly on right foot. Might be
090017 - due to new Powerstep orthotic inserts received from Doctor Hewitson at
090018 - VA Podiatry yesterday. Today, wore the set with more padding, see the
090019 - record on 260727 0900. ref SDS C6 ZID2
090021 - ..
090022 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin
090023 - with more padding to transfer load from forefeet to instep arch.
090025 - ..
090026 - Callus Injuries - have peeled large sections of callus on left foot #1
090027 - edge and bottom of toe, completed on 260725, per above. ref SDS 0 TI2H
090028 - PL 0 entire hike, though only 4 miles. For first time in a long
090029 - time, there was no evident lateral pressure on #1s and #5s, though
090030 - the top of #4 and #5 on right foot suffered PL 3, maybe PL #1 on left
090031 - foot.
090033 - ..
090034 - Socks see case study on 200101 0701. ref SDS 21 0S6N Wore 1 pair
090035 - single ply wool socks.
090036 -
090037 -
090039 - ..
090040 - San Francisco 11 mile route, reported on 170519, ref SDS 9 WTRS -
090041 - before leaving house in Concord took Glucosamine Chondroitin for OA
090042 - protection, mainly left knee treated with PRP intra articular
090043 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,
090044 - and also left hip. ref SDS 0 DHWP Before starting hike at hospital,
090045 - took 1 Naproxen 500 mg, for pain management, and took 4 Magnesium
090046 - Complex 300 mg pills for energy; and to absorb lactic acid for pain
090047 - management, and resolve inflammation to enable HDL to increase that
090048 - together with EPCs regress plaque in blood vessels, see research on
090049 - 200101 0701, ref SDS 21 QP6L Also took 2 COQ10 pills for energy - was
090050 - not difficult swallowing these large pills whole, recommended by
090051 - manufacturer, because swallowed with food, and despite EGD has not
090052 - been dilated LESV since 260421 0830, ref SDS C0 UN5Q, see report
090053 - clogging LESV on 240824. ref SDS 39 PPTU Had small amount peanut
090054 - butter and margarine, and Mayonnaise, and had some avocado for HDL,
090055 - ...and took 5 ml liquid Ubiquinol CoQ10 - all per above. ref SDS 0
090056 - YFSY CoQ10 is an enzyme produced in the body that supports an electron
090057 - transport chain (ETC) giving human cells energy - see case study on
090058 - 200101 0701. ref SDS 21 136K No breakfast reduces bloating feeling,
090059 - but still bloated starting hike today, from ischemic colitis caused by
090060 - taking statins and other drugs, also symptomatic of diabetes, and
090061 - atrial fibrillation, and since 6th cardiac ablation on 240611,
090062 - variable heart rate may occur from dysfunctional autonomic nervous
090063 - system (see analysis on 250114 1202, ref SDS 73 PQ5Y). Did not Take
090064 - backpack to carry stuff because extra weight increases damage and pain
090065 - to feet injuries. Temperature mild 53 and strong Southerly wind 12
090066 - mph. Departed VAMCSF campus starting to get light at 0435. Hiked
090067 - slowly downhill on 42nd Street to warm up. Turned corner heading
090068 - downhill West on Point Lobos to Cliff House at mile 1. Road bends and
090069 - changes to "Great Highway" going South along ocean beach. Pace picked
090070 - up as CoQ10 and magnesium was digested and increased strength. At
090071 - mile 2, turned onto John F Kennedy (JFK) Drive entering Golden Gate
090072 - Park. Maintained pace going slightly uphill into the park for .5
090073 - mile. Encountered early morning jogger going West but now much slower
090074 - walking instead of jogging - just said hello. Turned corner and
090075 - continued East on JFK. Dark and with few widely spaced street lights,
090076 - cannot see the road. Passed Buffalo compound, then Spreckles Lake.
090077 - Hiked past Lindley Meadow. Still nobody else in the park. Passed
090078 - Helman Hollow. Both feet pain level 0. Hiked under bridge at
090079 - Crossover Drive (part of highway 1 that goes to Golden Gate Bridge). -
090080 - JFK is blocked to vehicle traffic the rest of the way through the park
090081 - to Stanyon, limiting attendance to keep people separated that
090082 - minimizes spreading coronavirus, which was declared resolved 2 years
090083 - ago. Stopped near De Young Museum at mile 6, time 0600, temp 57, wind
090084 - 06; EKG mostly uniform with minor artifact. Kardia reported HR 104
090085 - Tachycardia - see below. ref SDS 0 AK6D Bloating PL 5, energy deficit
090086 - PL 0, feet metatarsalgia PL 2, burning sensation PL 0, left foot #1 PL
090087 - 0 and #5 PL 0, right foot #1 PL 0, #5 top only PL 2, left knee PL 0,
090088 - and left hamstring PL 0. Took 0 Naproxen. Took 1 Magnesium. Took 1
090089 - CoQ10. No sips softdrink carried from home for hydration, swallowing
090090 - meds but not nutrition - peanut butter, margarine, Mayonnaise, and
090091 - chia seeds (soaked in water/Coca Cola/orange juice) for energy, and
090092 - avocado for HDL, did not take Nuun electrolyte pill. Took 5 ml
090093 - Ubiquinol liquid CoQ10, all per above. ref SDS 0 LIRW Turned around
090094 - hiked back on JFK, heading West toward the Ocean. Stayed on South
090095 - side against traffic (no actual vehicle traffic in park). Increased
090096 - pace with magnesium kicking in and endorphins rising. About mile 8,
090097 - Waterfall not running this morning before passing under Crossover Road
090098 - bridge at highway 1. Passed Hellman Hollow then Lindley Meadow and
090099 - Spreckles Lake. At ocean, turned North onto Great Highway. Hiked
090100 - parallel to Ocean Beach toward the Cliff House and hospital. Halfway
090101 - to Cliff House had liquid CoQ10 for energy. Pace slowed hiking up
090102 - steep hill - 5% - 9% grade - did not stop. About mile 9 breathing
090103 - through mouth - dyspnea - today, unlike yesterday breathing through
090104 - nose hiking uphill on Crystal Ranch Road in Concord. Reflects pausing
090105 - hiking past month that has degraded cardiovascular condition. At
090106 - Cliff House, turned onto Point Lobos Avenue going East; hiked uphill
090107 - for 1 mile. Turned onto 42nd street and hiked up final hill to the VA
090108 - campus. Ended hike mile 11, time 0736 temp 56, wind 12, bloating PL
090109 - 5, energy deficit PL 3, feet metatarsalgia PL 3, burning sensation PL
090110 - 2, left foot #1 PL 0, #5 PL 1. Right foot #5 PL 3, and #1 PL 0. EKG
090111 - uniform with moderate artifact, Kardia reported HR 115 Unclassified -
090112 - see below. ref SDS 0 ECRH
090113 -
090114 -
090115 -
090116 -
090117 -
090118 -
090119 -
090120 -
090121 -
090122 -
090124 - ..
090125 - Kardia recorded HR 044 at 0227, Possible Atrial Fibrillation, looks
090126 - mostly variable heart beat lengths with p-waves and no artifact,
090127 - likely no AFL after hiking 17 miles temp 85 yesterday, per above,
090128 - ref SDS 0 EJ7I, and diagnosed ischemic colitis on 200612 0700,
090129 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th
090130 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.
090131 - ref SDS 73 NA4H Medical history case study on 200101 0701.
090132 - ref SDS 21 TSYT
090133 -
090134 -
090135 - pix: 950 450
090136 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260730-ecg-022710_mile_00_050_paf_vrbl.pdf
090137 -
090138 -
090139 -
090140 -
090142 - ..
090143 - Polar HR GPS study *** low accuracy GPS used *** in Concord.
090144 - California, hike 11 miles with max temperature 58, - Medical history
090145 - case study on 200101 0701. ref SDS 21 118K
090146 -
090147 - ..
090148 - x
090149 - Reported Samsung GPS mileage...
090150 - x x A
090151 - x x x
090152 - 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
090153 - 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
090154 - 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
090155 - 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
090156 - 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
090157 - 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
090158 - 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
090159 - 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
090160 -
090161 -
090162 -
090163 - https://flow.polar.com/training/analysis/8389201211
090164 -
090166 - ..
090168 - 
090169 -
090171 - ..
090172 - Polar system kept recording for about 30 minutes after hike ended,
090173 - because forgot to stop the session.
090174 -
090175 -
090176 -
090178 - ..
090179 - EKG at mile 06 time 0600, HR 104 temp 53, wind 09; Kardia reported
090180 - Tachycardia... heart rate looks mostly uniform with no artifact -
090181 - medical history case study on 200101 0701. ref SDS 21 TSYT
090182 -
090183 -
090184 - pix: 950 450
090185 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260730-ecg-060031_mile_06_104_tcy_unfm.pdf
090186 -
090187 -
090189 - ..
090190 - End hike EKG at mile 11, time 0736 HR 115 temp 56, wind 12 - Kardia
090191 - reported Tachycardia... looks sinus mostly uniform with moderate
090192 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT
090193 -
090194 -
090195 - pix: 950 450
090196 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260730-ecg-073608_mile_11_115_tcy_unfm.pdf
090197 -
090198 -
090199 -
090200 -
090202 - ..
090203 - Post hike HR profile beginning 1955, aligns with indoor activity after
090204 - hiking 11 miles with temperature 58, and showing no continuous
090205 - extended period steady elevated HR > 130, indicates no AFL, and no
090206 - possible atrial fibrillation, and after stopping Apixaban on 240711,
090207 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
090208 - patient history on 200101 0701. ref SDS 21 TSYT
090209 -
090211 - ..
090212 - 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
090213 - 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
090214 - 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
090215 - 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
090216 - 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
090217 - 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
090218 -
090219 -
090220 - https://flow.polar.com/training/analysis/8389703146
090222 - ..
090223 - HRV seems 40% 0 and 30% good and 30% poor overnight Polar HR report...
090224 -
090226 - 
090227 -
090228 -
090230 - ..
090231 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds
090232 - Lunch - donut milk
090233 - Dinner - steak brocolli asparagus cauliflower onion potato
090235 - ..
090236 - Vomiting: 0% dinner - bloating PL 3 - no aspirating last noght - looks good
090237 -
090238 -
090239 -
090240 -
090241 -
090242 -
090243 -
090244 -
090245 -
090246 -
090247 -
090248 -
090249 -
090250 -
090251 -
090252 -
090253 -
090254 -
090255 -
090256 -
090257 -
090258 -
090259 -
090260 -
090261 -
090262 -
090263 -
090265 - ..
090266 - H I K I N G
090267 - M E D I C A T I O N Miles Time V I T A L S
090268 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
090269 - ====================================================================================
090270 - Friday
090271 - 132. 260731 0710............................................. summary vitals, ref SDS 21 9HIW
090272 - 0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
090273 - 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
090274 - 0720....BP HR..................................................... 165 78 64 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
090275 - 0725....BP HR..................................................... 158 79 63
090276 - 0730....BP HR..................................................... 178 84 68
090277 - 0735....weight.................................... 187
090278 - 0805....Magnesium 300 mg 3 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
090279 - 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
090280 - 0805... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
090281 - 0805....Avocado to increase HDL - 1/2 small
090282 - 0805....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)
090283 - 0805....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N
090284 - 0840....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0
090285 - 0840... 05 CoQ10 Ubiquinol Liquid - increases energy
090286 - 0840....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses
090287 - 0000...
090288 - ..
090289 - 1017....miles........... 15.0 59.0 246 800 minutes temp 96 wind 12 rain 0% light
090290 - 0000....................................................
090291 - 1216....mile 06 stopped EKG ... banana for potasium and swallow medication pills
090292 - 1216....Naproxen 500 mg took 1 pill
090293 - 1216... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
090294 - 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
090295 - 1216... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
090296 - 0000... Nuun Electrolytes Pill
090297 - 1216... 20 4060 CoQ10 Ubiquinol Liquid
090298 - 1216....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses
090299 - 0000....................................................
090300 - 1510... Hike ends mile 15... ref SDS 0 7BXE
090301 - 0000...
090302 - 1520....weight.................................... 181 lost 6#
090303 - 1525....BP HR..................................................... 127 78 118
090304 - 1530....BP HR..................................................... 111 71 106
090305 - 1535....BP HR..................................................... 116 63 101
090306 - 0000...
090307 - ..
090308 - 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
090309 - 0000............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
090310 - 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
090311 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
090312 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
090313 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
090314 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
090315 - 0000... 10 60 Cyclobenzaprine sleep aid
090316 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
090317 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
090318 -
090320 - ..
090321 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
090322 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
090324 - ..
090325 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
090326 - pain no longer in toes down to heels. Symptoms declined pins and
090327 - needles tingling in evening, when feet are elevated in reclining
090328 - chair. Restless legs has not occurred for awhile, maybe because
090329 - hiking has declined considerably.
090331 - ..
090332 - Pain medication limitations reported in case study on 200101 0701.
090333 - ref SDS 21 KS5O
090335 - ..
090336 - Swallowing - difficult - must eat very slowly, plenty liquid.
090338 - ..
090339 - Reflux slept in bed initially, aspirated OA 0430, tried sleeping in
090340 - recliner chair, got up and started work.
090341 -
090342 -
090344 - ..
090345 - Summary... before starting had difficulty swallowing nutrition,
090346 - hydration and medications, due to bloating with aspiration. Same
090347 - occurred stopping at mile 7, for EKG, meds and nutrition. Tried
090348 - omitting pain drugs starting hike, and this was successful. Breathed
090349 - through nose entire hike with no dyspnea and should continue with
090350 - hiking Crystal Ranch Road. PL 0 entire hike wearing new Brooks
090351 - Glycerin 23 shoes received last night. This morning, before hike took
090352 - 0 Naproxen 500 mg capsule; at mile 7 needed only 1 Naproxen. This is
090353 - lowest amount of pain medications needed for hiking in very many
090354 - years. If this can be repeated will return hiking to therapeutic
090355 - levels recommended by Doctor Pellegrini (see her letter and discussion
090356 - on 250207 0941. ref SDS 76 PS49), and without inflammation that
090357 - enables HDL, EPCs and telomeres to rise, and restore sinus HR that
090358 - resolves cascading afflictions from dysfunctional autonomic nervous
090359 - system (ANS). Heat in 90s was major factor limiting hike today.
090360 -
090362 - ..
090363 - Pain Location Pain Level % of Hike
090364 - ----------------------------------------- ---------- ---------
090365 - Stomach pain ischemic colitis bloating....... 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
090366 - 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
090367 - Hands cramping hurting - post hike........... 0 100 hands and thumbs cramping 2 hours after hike
090368 - Hands flinching post hike muscle spasms...... 0 100
090369 - Chest pain................................... 0 100 began about mile 8, taking Tramadol and Gabapenin mile 11helped
090370 - 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
090371 - Breathing ARDS............................... 0 100 difficulty breathing due to grade and length
090372 - Trapezius right side neck/shoulder........... 0 100 no recurrance today momentarily last half hike turning body and head left or right
090373 - Spine below neck lift left or right arm...... 0 100 did not occur today, but not a factor if head held steady
090374 - Neck turning head/chest left or right........ 0 100 episodes mile 18+ took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00
090375 - 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
090376 - Bicep tendon strain across elbow right arm... 0 100
090377 - 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
090378 - Hands sunburned itching rash................. 0 100 omitted sunblock today 260512, just forgot
090379 - Hip left..................................... 0 100 noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped
090380 - Back......................................... 0 100
090381 - Hip right.................................... 0 100
090382 - Shin splint pain both legs................... 0 100
090383 - Knee left skin lesions left side............. 0 100
090384 - 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
090385 - Knee left patalla...PRP 210705............... 0 100
090386 - Knee buckling left..PRP 191209.240108........ 0 100 began coming down Ygnacio Valley Road about mile 22 - intermittant
090387 - Knee left anterior cruciate ligament......... 0 100 same as knee buckling
090388 - Knee right cruciate ligament back of knee.... 0 100
090389 - 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
090390 - Achilees tendon right leg collaps/buckling... 0 100 did not recur today
090391 - Quadraceps both legs......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
090392 - Hamstring tendon left leg.PRP 210705......... 0 100
090393 - Hamstring left leg........................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
090394 - Hamstring right leg.......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
090395 - Calf left.................................... 0 100
090396 - Tailor's Bunion left foot.. PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
090397 - Tailor's Bunion right foot..PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
090398 - Plantar plate right foot..................... 0 100
090399 - Electric shocks middle 3 toes right foot..... 0 100 occurred intermittanly for minutes maybe twice
090400 - Metatarsalgia left foot...PRP 260403......... 0 100 PRP 260403 may be curing this injury
090401 - Metatarsalgia right foot..PRP 260403......... 0 100 PRP 260403 may be curing this injury
090402 - new Right foot fat pad below #3 & #4,,,,,,,,,,... 0 100 PRP 260403 may be curing this injury
090403 - 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
090404 - Planarfaciitis right foot..240213............. 0 100
090405 - Feet bottom soles hurt socks worn out........ 0 100
090406 - 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
090407 - Ankle left achilles heel on 220416........... 0 100 left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today
090408 - Ankle right pain on 200407 and 231203........ 0 100 xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal
090409 - Foot right possible fracture 200917......... 0 100 CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831
090410 - Hallux Valgus right foot..................... 0 100 seems stable despite hiking therapeutic miles
090411 - Cut big right foot........................... 0 100 Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316
090412 - 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.
090413 - Callus big toe right foot...PRP 210705....... 0 100 peeled large callus just before hike - stable no pain for multiple months
090414 - Blister below big toe right foot............. 0 100
090415 - Blister below big toe left foot.............. 0 100 new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725
090416 - 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
090417 - 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
090418 - Blister forefoot toes right foot............. 0 100
090419 - 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
090420 - 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
090421 - 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
090422 - 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,
090423 - Blister ring toe left foot.new 240602........ 0 100 seems healed today on 240626
090424 - 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
090425 - 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
090426 - 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
090427 - Blister top foot at toe line left foot....... 0 100
090428 - 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
090429 - 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
090430 - Blister top long and middle toes left foot... 0 100
090431 - 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
090432 - 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
090433 - Diabetes toes both feet inflamed, itch....... 0 100 Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms
090434 - 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
090435 - Peripheral neruopathy top left hand.......... 0 100 worse after 2 miles and calmed by mile 8
090436 - Peripheral neruopathy top right hand......... 0 100 worse after 2 miles and calmed by mile 8
090437 - Veering left................................. 0 100 veering left about mile 15 last 5 miles
090438 - Veering right ............................... 0 100
090439 - Fall......................................... 0 100
090440 - Restless legs................................ 0 100
090441 - AFL...5th ablation on 231214................. 0 100 Polar shows no AFL entire hike
090442 - 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
090443 - 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.
090444 - Hiker's rash vasculitis.see 210618........... 0 100 after hike quads show heat rash
090445 -
090446 -
090448 - ..
090449 - Shoes see case study on 200101 0701. ref SDS 21 SO4L Switched to new
090450 - Brooks Glycerin 23 shoes size 11.5 width 4E, purchased on 260723 1217.
090451 - ref SDS C5 EQ7K and received yesterday. Very good hike mostly PL 0 on
090452 - feet over 15 miles. Starting there was some pressure left foot edge
090453 - #5, which resolved after about 3 miles. Reduced pain profile might be
090454 - due in part to new Powerstep orthotic inserts. Did not take pain meds
090455 - today starting hike. Took 1 Naproxen 500 mg at mile 7; this is lowest
090456 - amount of pain medications needed for hiking in very many years.
090458 - ..
090459 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin
090460 - with more padding to transfer load from forefeet to instep arch,
090461 - received from Doctor Hewitson at VA Podiatry on 260727 0900.
090462 - ref SDS C6 LJHN
090464 - ..
090465 - Callus Injuries - in recent weeks, have peeled large sections of
090466 - callus on left foot #1 edge and bottom of toe, completed on 260725,
090467 - per above. ref SDS 0 TI2H Yesterday, Doctor Tang and his assistant,
090468 - John, in VA Podiatry maintained wounds from these feet callus removals
090469 - yesterday on 260730 0900. ref SDS C7 5A4I Today, callus injuries PL 0
090470 - during entire hike 15 miles - very favorable result of better shoes
090471 - and insets supported by expert care. If this is repeated with hiking
090472 - restored to therapeutic levels in days, weeks, months ahead, then HDL
090473 - 51 reported on 260727, should recover > 60, along with EPCs and
090474 - telomeres that maintain good health, including recovery from
090475 - dysfunctional ANS.
090477 - ..
090478 - Socks see case study on 200101 0701. ref SDS 21 0S6N Wore 2 pair
090479 - dual-ply Wrightsocks socks.
090480 -
090481 -
090483 - ..
090484 - Concord 15 mile route - forgot to take Glucosamine Chondroitin for OA
090485 - protection, mainly left knee treated with PRP intra articular
090486 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,
090487 - and also left hip, which flares few times a month, but not for a few
090488 - weeks. Took 1 Naproxen 500 mg for pain management - there is no
090489 - metatarsalgia pain in feet starting the hike today, and both feet #1
090490 - and #5 calluses both PL 0 - were shaved down by Doctor Tang in VAMC
090491 - Podiatry on 260702 0830. ref SDS C2 5H6F Took 4 Magnesium Complex 300
090492 - mg pills for energy and absorbing lactic acid that enable hiking, and
090493 - reduce inflammation, all enabling HDL to increase, and together with
090494 - EPCs regress plaque in blood vessels - see research on 200101 0701,
090495 - ref SDS 21 QP6L Also took 2 CoQ10 capsules for energy, and took 2
090496 - Turmeric Curcumin 2250 mg pills that resolve inflammation for HDL to
090497 - rise. Swallowed pills separately and whole combined with small amount
090498 - avocado, mayonaise, peanut butter and margarine - pills slip through
090499 - LESV much better when swallowed combined with chewed up food in mouth.
090500 - About 20 minutes later after dressing for hike, took liquid Turmeric
090501 - Curcumin and Ubiquinol CoQ10 per above. ref SDS 0 ICWP CoQ10 is an
090502 - enzyme produced in the body that supports an electron transport chain
090503 - (ETC) giving human cells energy - see case study on 200101 0701.
090504 - ref SDS 21 136K No breakfast reduces bloating feeling starting hike
090505 - from ischemic colitis caused by taking statins and other drugs, also
090506 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -
090507 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H
090508 - Did not take backpack to carry stuff - good to build conditioning for
090509 - Half Dome - because extra weight increases pressure on feet injuries.
090510 - Now that feet injuries are on the wane, may resume taking backpack
090511 - after another few hikes. Hiked mile loop around the block to start
090512 - hike, which identifies bloating and feet wound issues that can be
090513 - treated, before problems arise miles from home. Hiked Cuneo .25 mile
090514 - and turned left, onto Treat. Starting hike feet feel less swelled
090515 - like pins and needles - did not feel electrical shocks in balls of
090516 - feet due to peripheral neuropathy caused by statins, diabetes, and
090517 - dysfunctional ANS. These afflictions seem quiet the past weeks.
090518 - Bottom of both feet minor metatarsalgia pain - significant pain ( > 5
090519 - ) both feet #1 and #5 has caused pausing hiking for injuries to heal
090520 - past 60 days, see case study on 200101 0701. ref SDS 21 BGZV Breathed
090521 - through nose entire hike with no dyspnea, indicating conditioning has
090522 - sustained, despite minimal hiking last few months, albeit have not
090523 - been hiking Crystal Ranch Road, dyspnea occurred yesterday hiking
090524 - uphill to Cliff House and on Point Lobos for .25 mile returning to
090525 - hospital. Temperature started at 75, and reached 96. East wind 12
090526 - mph and mostly 8 mph, which was cooling at times; in fact heat was
090527 - debilitating last 4 miles. Continued East on Treat .5 miles. Turned
090528 - right hiking South on asphalt shoulder of Turtle Creek Road for 1.5
090529 - miles mostly flat grade, some places 3% uphill, and very light
090530 - traffic. Did not hike across Newhall Community park and back today.
090531 - Continued on Turtle Creek Road uphill 4% grade. At end of Turtle
090532 - Creek Road turned left onto Ayers hiking East .75 miles on asphalt
090533 - road shoulder. At mile 4, turned right onto Clayton Road hiking South
090534 - .5 miles on asphalt pavement in parking lots of shopping complex.
090535 - Stopped at Lucky store to buy banana with potassium that complements
090536 - meds for energy, and aids swallowing meds to slip through tightening
090537 - LESV, pending EGD dilation on 269821. Crossed Alberto Way at traffic
090538 - light and continued on concrete sidewalk .5 miles. Energy good - did
090539 - not need to stop at mile 4 time ____ in Mountain Mike's Pizza
090540 - restaurant to take meds for energy to hike. Turned right going West
090541 - on Ygnacio Valley Road using concrete sidewalk .5 miles. Continued
090542 - past Park Highlands Road at Stop Light and heading West .25 miles on
090543 - very narrow asphalt shoulder next to high risk heavy morning commute
090544 - traffic. Crossed to South side Ygnacio Valley Road hiking on wider
090545 - shoulder past stop light at Michigan Boulevard. Hiked another .25
090546 - miles to Chevron gas station and store. At mile 6, turned left onto
090547 - Pine Hollow. Hiked East .5 mile and turned around and hiked back to
090548 - Ygnacio Valley Road. Stopped at Chevron gas station store mile 7 time
090549 - 1216 temp 91 and wind 10 mph; EKG looks uniform with no artifact.
090550 - Kardia reported HR 121 Tachycardia, - see below. ref SDS 0 QX5P
090551 - Bloating PL 6, both feet metatarsalgia PL 0. Left foot #1 PL 0 (wound
090552 - injury healed from peeling callus, per above. ref SDS 0 6D95), and #5
090553 - PL 2. Right foot #5 PL 0; top of #3, #4, #5 PL 0 feels better today,
090554 - than past 3 weeks. Took 1 Naproxen 500 mg total today 1 for pain.
090555 - Took 4 Magnesium complex 300 mg pills - total today 8 - for energy,
090556 - absorbing lactic acid, per research on 200101 0701. ref SDS 21 QP6L
090557 - Took 2 Turmeric Curcumin 2250 mg - total today 4 - to reduce
090558 - inflammation. Took 2 CoQ10 pills - total today 4 - to increase
090559 - energy. Sips softdrink purchased from Chev store for hydration and
090560 - swallowing nutrition - banana purchased at Lucky store enables
090561 - swallowing medication pills combined with bites of banana to slip
090562 - through LESV now contracted due to achalasia, pending dilation
090563 - procedure scheduled on 260821. Took Ubiquinol CoQ10 0.6 ml liquid for
090564 - HDL and energy to continue hike. Did not take Nuun electrolyte pill.
090565 - Continued hike on Pine Hollow 0.26 miles East. Turned around and
090566 - hiked back, then turned left onto Campus Drive hiking 1 mile West
090567 - uphill 3% grade against wind 10 mph. The road bends North. Turned
090568 - left heading West on Ygnacio Valley road .50 mile. Temperature > 90
090569 - became a factor lowering hiking energy. At Crystal Ranch Road, turned
090570 - around and hiked back. Turned onto Campus Drive again and hiked
090571 - uphill 4% grade .3 mile. Reached Visitor Parking California State
090572 - University East Bay Concord Campus - mile 10. Hiked 3 loops around
090573 - main buildings - used exercise equipment at back of buildings to do 20
090574 - partial pullups and pushups each pass. Back at Visitor Parking mile
090575 - 12, left the college heading North downhill on Campus Drive. Turned
090576 - left onto Ygnacio Valley Road. Heat > 94 increasing factor disipating
090577 - energy. Hiked West on flat grade .5 miles. Continued past Crystal
090578 - Ranch Road heading West on Ygnacio Valley road .5 mile uphill 3% grade
090579 - against wind 12 mph - temp 96. Not feeling well, decided not to
090580 - continue on up to summit. Turned right 1 mile downhill, including .25
090581 - mile with no shoulder separating commute traffic. Turned left onto
090582 - Treat for .25 mile; turned right on Cunio and home. Ended hike mile
090583 - 15 time 1510 temp 96, wind 12, bloating PL 5, energy deficit 4, feet
090584 - metatarsalgia PL 2, left foot #1 edge PL 0, #5 edge PL 0, right foot
090585 - #1 PL 0, #5 PL 0, top #3, #4 blistering PL 0, burning sensation PL 0.
090586 - EKG sinus with minor artifact, Kardia reported HR 131 Tachycardia -
090587 - see below. ref SDS 0 7BXE
090588 -
090589 -
090590 -
090591 -
090592 -
090593 -
090594 -
090595 -
090596 -
090597 -
090599 - ..
090600 - Kardia recorded HR 064 at 0902, Possible Atrial Fibrillation, looks
090601 - mostly variable heart beat lengths with p-waves and no artifact,
090602 - likely no AFL after hiking 11 miles temp 57 yesterday, per above,
090603 - ref SDS 0 YFSY, and diagnosed ischemic colitis on 200612 0700,
090604 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th
090605 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.
090606 - ref SDS 73 NA4H Medical history case study on 200101 0701.
090607 - ref SDS 21 TSYT
090608 -
090609 -
090610 - pix: 950 450
090611 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260731-ecg-090227_mile_00_064_paf_vrbl.pdf
090612 -
090613 -
090614 -
090615 -
090617 - ..
090618 - Polar HR GPS study *** low accuracy GPS used *** in Concord.
090619 - California, hike 15 miles with max temperature 96, - Medical history
090620 - case study on 200101 0701. ref SDS 21 118K
090621 - ..
090622 - x
090623 - Reported Samsung GPS mileage...
090624 - x x A
090625 - x x x
090626 - 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
090627 - 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
090628 - 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
090629 - 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
090630 - 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
090631 - 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
090632 - 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
090633 - 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
090634 -
090635 -
090636 - https://flow.polar.com/training/analysis/8389938248
090637 -
090639 - ..
090641 - 
090642 -
090643 -
090644 -
090645 -
090646 -
090648 - ..
090649 - EKG at mile 07 time 1216, HR 121 temp 91, wind 10; Kardia reported
090650 - Tachycardia... heart rate looks mostly uniform with no artifact -
090651 - medical history case study on 200101 0701. ref SDS 21 TSYT
090652 -
090653 -
090654 - pix: 950 450
090655 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260731-ecg-121645_mile_07_121_tcy_unfm.pdf
090656 -
090657 -
090659 - ..
090660 - End hike EKG at mile 15, time 1510 HR 131 temp 96, wind 12 - Kardia
090661 - reported Tachycardia... looks like sinus mostly uniform with minor
090662 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT
090663 -
090664 -
090665 - pix: 950 450
090666 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260731-ecg-151049_mile_15_131_tcy_unfm.pdf
090667 -
090668 -
090669 -
090670 -
090672 - ..
090673 - Post hike HR profile beginning 2314, aligns with indoor activity after
090674 - hiking 15 miles with temperature 96, and showing no continuous
090675 - extended period steady elevated HR > 130, indicates no AFL, and no
090676 - possible atrial fibrillation, and after stopping Apixaban on 240711,
090677 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
090678 - patient history on 200101 0701. ref SDS 21 TSYT
090679 -
090681 - ..
090682 - 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
090683 - 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
090684 - 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
090685 - 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
090686 - 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
090687 - 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
090688 -
090689 -
090690 - https://flow.polar.com/training/analysis/8390299537
090692 - ..
090693 - HRV seems 20% 0 and 50% good and 20% poor overnight Polar HR report...
090694 -
090696 - 
090697 -
090698 -
090700 - ..
090701 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds
090702 - Lunch - banana with hiking meds
090703 - Dinner - hamburger brocolli asparagus cauliflower onion
090705 - ..
090706 - Vomiting: 0% dinner - bloating PL 3 - no aspirating last noght - looks good
090707 -
090708 -
090709 -
090710 -
090711 -
090712 -
090713 -
090714 -
090715 -
090716 -
090717 -
090718 -
090719 -
090720 -
090721 -
090722 -
090723 -
090724 -
090725 -
090726 -
090727 -
090728 -
090729 -
090730 -
090731 -
090732 -
090733 -
090735 - ..
090736 - H I K I N G
090737 - M E D I C A T I O N Miles Time V I T A L S
090738 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
090739 - ====================================================================================
090740 - Saturday
090741 - 132. 260801 0650............................................. summary vitals, ref SDS 21 9HIW
090742 - 0650....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
090743 - 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
090744 - 0700....BP HR..................................................... 163 86 49 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
090745 - 0705....BP HR..................................................... 175 71 48
090746 - 0710....BP HR..................................................... 167 82 50
090747 - 0715....weight.................................... 187
090748 - 0905....Magnesium 300 mg 3 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
090749 - 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
090750 - 0905... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
090751 - 0905....Avocado to increase HDL - 1/2 small
090752 - 0905....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)
090753 - 0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N
090754 - 0935....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0
090755 - 0935... 05 CoQ10 Ubiquinol Liquid - increases energy
090756 - 0935....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses
090757 - 0000...
090758 - ..
090759 - 0847....miles........... 14.0 73.0 222 1022 minutes temp 92 wind 09 rain 0% light
090760 - 0000....................................................
090761 - 1101....mile 08 stopped EKG ... banana for potasium and swallow medication pills
090762 - 1101....Naproxen 500 mg took 1 pill
090763 - 1101... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
090764 - 1101... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
090765 - 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
090766 - 1101... Nuun Electrolytes Pill
090767 - 1101... 20 4060 CoQ10 Ubiquinol Liquid
090768 - 1101....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses
090769 - 0000....................................................
090770 - 1323... Hike ends mile 14... ref SDS 0 DZ8H
090771 - 0000...
090772 - 1330....weight.................................... 183 lost 4#
090773 - 1340....BP HR..................................................... 135 77 96
090774 - 1345....BP HR..................................................... 168 66 67
090775 - 1350....BP HR..................................................... 142 63 61
090776 - 0000...
090777 - ..
090778 - 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
090779 - 0000............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
090780 - 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
090781 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
090782 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
090783 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
090784 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
090785 - 0000... 10 60 Cyclobenzaprine sleep aid
090786 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
090787 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
090788 -
090790 - ..
090791 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
090792 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
090794 - ..
090795 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
090796 - pain no longer in toes down to heels. Symptoms declined pins and
090797 - needles tingling in evening, when feet are elevated in reclining
090798 - chair. Restless legs has not occurred for awhile, maybe because
090799 - hiking has declined considerably.
090801 - ..
090802 - Pain medication limitations reported in case study on 200101 0701.
090803 - ref SDS 21 KS5O
090805 - ..
090806 - Swallowing - difficult - must eat very slowly, plenty liquid.
090808 - ..
090809 - Reflux slept in recliner chair to control aspiration.
090810 -
090811 -
090813 - ..
090814 - Summary... before starting had difficulty swallowing nutrition,
090815 - hydration and medications, due to bloating with aspiration. Same
090816 - occurred stopping at mile 8, for EKG, meds and nutrition. After
090817 - starting hike again, vomitted along the trail about .5 mile out.
090818 - Breathed through nose entire hike with no dyspnea and should continue
090819 - with hiking Crystal Ranch Road. PL 0 entire hike wearing new Brooks
090820 - Glycerin 23 shoes received last night. This morning, before hike took
090821 - 1 Naproxen 500 mg capsule; at mile 7 needed only 1 Naproxen. Heat in
090822 - 90s was major factor limiting hike today.
090823 -
090825 - ..
090826 - Pain Location Pain Level % of Hike
090827 - ----------------------------------------- ---------- ---------
090828 - Stomach pain ischemic colitis bloating....... 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
090829 - 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
090830 - Hands cramping hurting - post hike........... 0 100 hands and thumbs cramping 2 hours after hike
090831 - Hands flinching post hike muscle spasms...... 0 100
090832 - Chest pain................................... 0 100 began about mile 8, taking Tramadol and Gabapenin mile 11helped
090833 - 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
090834 - Breathing ARDS............................... 0 100 difficulty breathing due to grade and length
090835 - Trapezius right side neck/shoulder........... 0 100 no recurrance today momentarily last half hike turning body and head left or right
090836 - Spine below neck lift left or right arm...... 0 100 did not occur today, but not a factor if head held steady
090837 - Neck turning head/chest left or right........ 0 100 episodes mile 18+ took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00
090838 - 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
090839 - Bicep tendon strain across elbow right arm... 0 100
090840 - 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
090841 - Hands sunburned itching rash................. 0 100 omitted sunblock today 260512, just forgot
090842 - Hip left..................................... 0 100 noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped
090843 - Back......................................... 0 100
090844 - Hip right.................................... 0 100
090845 - Shin splint pain both legs................... 0 100
090846 - Knee left skin lesions left side............. 0 100
090847 - 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
090848 - Knee left patalla...PRP 210705............... 0 100
090849 - Knee buckling left..PRP 191209.240108........ 0 100 began coming down Ygnacio Valley Road about mile 22 - intermittant
090850 - Knee left anterior cruciate ligament......... 0 100 same as knee buckling
090851 - Knee right cruciate ligament back of knee.... 0 100
090852 - 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
090853 - Achilees tendon right leg collaps/buckling... 0 100 did not recur today
090854 - Quadraceps both legs......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
090855 - Hamstring tendon left leg.PRP 210705......... 0 100
090856 - Hamstring left leg........................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
090857 - Hamstring right leg.......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
090858 - Calf left.................................... 0 100
090859 - Tailor's Bunion left foot.. PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
090860 - Tailor's Bunion right foot..PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
090861 - Plantar plate right foot..................... 0 100
090862 - Electric shocks middle 3 toes right foot..... 0 100 occurred intermittanly for minutes maybe twice
090863 - Metatarsalgia left foot...PRP 260403......... 0 100 PRP 260403 may be curing this injury
090864 - Metatarsalgia right foot..PRP 260403......... 0 100 PRP 260403 may be curing this injury
090865 - new Right foot fat pad below #3 & #4,,,,,,,,,,... 0 100 PRP 260403 may be curing this injury
090866 - 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
090867 - Planarfaciitis right foot..240213............. 0 100
090868 - Feet bottom soles hurt socks worn out........ 0 100
090869 - 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
090870 - Ankle left achilles heel on 220416........... 0 100 left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today
090871 - Ankle right pain on 200407 and 231203........ 0 100 xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal
090872 - Foot right possible fracture 200917......... 0 100 CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831
090873 - Hallux Valgus right foot..................... 0 100 seems stable despite hiking therapeutic miles
090874 - Cut big right foot........................... 0 100 Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316
090875 - 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.
090876 - Callus big toe right foot...PRP 210705....... 0 100 peeled large callus just before hike - stable no pain for multiple months
090877 - Blister below big toe right foot............. 0 100
090878 - Blister below big toe left foot.............. 0 100 new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725
090879 - 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
090880 - 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
090881 - Blister forefoot toes right foot............. 0 100
090882 - 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
090883 - 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
090884 - 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
090885 - 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,
090886 - Blister ring toe left foot.new 240602........ 0 100 seems healed today on 240626
090887 - 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
090888 - 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
090889 - 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
090890 - Blister top foot at toe line left foot....... 0 100
090891 - 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
090892 - 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
090893 - Blister top long and middle toes left foot... 0 100
090894 - 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
090895 - 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
090896 - Diabetes toes both feet inflamed, itch....... 0 100 Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms
090897 - 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
090898 - Peripheral neruopathy top left hand.......... 0 100 worse after 2 miles and calmed by mile 8
090899 - Peripheral neruopathy top right hand......... 0 100 worse after 2 miles and calmed by mile 8
090900 - Veering left................................. 0 100 veering left about mile 15 last 5 miles
090901 - Veering right ............................... 0 100
090902 - Fall......................................... 0 100
090903 - Restless legs................................ 0 100
090904 - AFL...5th ablation on 231214................. 0 100 Polar shows no AFL entire hike
090905 - 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
090906 - 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.
090907 - Hiker's rash vasculitis.see 210618........... 0 100 after hike quads show heat rash
090908 -
090909 -
090911 - ..
090912 - Shoes see case study on 200101 0701. ref SDS 21 SO4L Wore new Brooks
090913 - Glycerin 23 shoes size 11.5 width 4E, again, received 260730. Very
090914 - good hike again mostly PL 0 on feet over 15 miles. Starting there was
090915 - some pressure left foot edge #5, which resolved after about 1 mile.
090917 - ..
090918 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin
090919 - with more padding to transfer load from forefeet to instep arch,
090920 - received from Doctor Hewitson at VA Podiatry on 260727 0900.
090921 - ref SDS C6 LJHN
090923 - ..
090924 - Callus Injuries - in recent weeks, have peeled large sections of
090925 - callus on left foot #1 edge and bottom of toe, completed on 260725,
090926 - per above. ref SDS 0 TI2H Yesterday, Doctor Tang and his assistant,
090927 - John, in VA Podiatry maintained wounds from these feet callus removals
090928 - yesterday on 260730 0900. ref SDS C7 5A4I Today, callus injuries PL 0
090929 - during entire hike 15 miles - very favorable result of better shoes
090930 - and insets supported by expert care. If this is repeated with hiking
090931 - restored to therapeutic levels in days, weeks, months ahead, then HDL
090932 - 51 reported on 260727, should recover > 60, along with EPCs and
090933 - telomeres that maintain good health, including recovery from
090934 - dysfunctional ANS.
090936 - ..
090937 - Socks see case study on 200101 0701. ref SDS 21 0S6N Wore 2 pair
090938 - dual-ply Wrightsocks socks.
090939 -
090940 -
090942 - ..
090943 - Concord 14 mile route - took Glucosamine Chondroitin for OA
090944 - protection, mainly left knee treated with PRP intra articular
090945 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,
090946 - and also left hip, which flares few times a month, but not for a few
090947 - weeks. Took 1 Naproxen 500 mg for pain management - there is no
090948 - metatarsalgia pain in feet starting the hike today, and both feet #1
090949 - and #5 calluses both PL 0 - were shaved down by Doctor Tang in VAMC
090950 - Podiatry on 260702 0830. ref SDS C2 5H6F Took 4 Magnesium Complex 300
090951 - mg pills for energy and absorbing lactic acid that enable hiking, and
090952 - reduce inflammation, all enabling HDL to increase, and together with
090953 - EPCs regress plaque in blood vessels - see research on 200101 0701,
090954 - ref SDS 21 QP6L Also took 2 CoQ10 capsules for energy, and took 2
090955 - Turmeric Curcumin 2250 mg pills that resolve inflammation for HDL to
090956 - rise. Swallowed pills separately and whole combined with small amount
090957 - avocado, mayonaise, peanut butter and margarine - pills slip through
090958 - LESV much better when swallowed combined with chewed up food in mouth.
090959 - About 20 minutes later after dressing for hike, took liquid Turmeric
090960 - Curcumin and Ubiquinol CoQ10 per above. ref SDS 0 9J2P CoQ10 is an
090961 - enzyme produced in the body that supports an electron transport chain
090962 - (ETC) giving human cells energy - see case study on 200101 0701.
090963 - ref SDS 21 136K No breakfast reduces bloating feeling starting hike
090964 - from ischemic colitis caused by taking statins and other drugs, also
090965 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -
090966 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H
090967 - Did not take backpack to carry stuff - good to build conditioning for
090968 - Half Dome - because extra weight increases pressure on feet injuries.
090969 - Now that feet injuries are on the wane, may resume taking backpack
090970 - after another few hikes. Did not hike mile loop around the block to
090971 - start hike, which identifies bloating and feet wound issues that can
090972 - be treated, before problems arise miles from home. Hiked Cuneo .25
090973 - mile and turned left, onto Treat. Starting hike feet feel less
090974 - swelled like pins and needles - did not feel electrical shocks in
090975 - balls of feet due to peripheral neuropathy caused by statins,
090976 - diabetes, and dysfunctional ANS. These afflictions seem quiet the
090977 - past weeks. Bottom of both feet minor metatarsalgia pain -
090978 - significant pain ( > 5 ) both feet #1 and #5 has caused pausing hiking
090979 - for injuries to heal past 60 days, see case study on 200101 0701.
090980 - ref SDS 21 BGZV Breathed through nose entire hike with no dyspnea,
090981 - indicating conditioning has sustained, despite minimal hiking last few
090982 - months, albeit have not been hiking Crystal Ranch Road, dyspnea
090983 - occurred yesterday hiking uphill to Cliff House and on Point Lobos for
090984 - .25 mile returning to hospital. Temperature started at 75, and
090985 - reached 92. East wind 09 mph and mostly 5 mph, which was cooling at
090986 - times; in fact heat was debilitating last 3 miles. Continued East on
090987 - Treat .5 miles. Turned right hiking South on asphalt shoulder of
090988 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%
090989 - uphill, and very light traffic. Did not hike across Newhall Community
090990 - park and back today. Continued on Turtle Creek Road uphill 4% grade.
090991 - At end of Turtle Creek Road turned left onto Ayers hiking East .75
090992 - miles on asphalt road shoulder. At mile 4, turned right onto Clayton
090993 - Road hiking South .5 miles on asphalt pavement in parking lots of
090994 - shopping complex. Stopped at Lucky store to buy banana with potassium
090995 - that complements meds for energy, and aids swallowing meds to slip
090996 - through tightening LESV, pending EGD dilation on 269821. Crossed
090997 - Alberto Way at traffic light and continued on concrete sidewalk .5
090998 - miles. Energy good - did not need to stop at mile 4 time ____ in
090999 - Mountain Mike's Pizza restaurant to take meds for energy to hike.
091000 - Turned right going West on Ygnacio Valley Road using concrete sidewalk
091001 - .5 miles. Continued past Park Highlands Road at Stop Light and
091002 - heading West .25 miles on very narrow asphalt shoulder next to high
091003 - risk heavy morning commute traffic. Crossed to South side Ygnacio
091004 - Valley Road hiking on wider shoulder past stop light at Michigan
091005 - Boulevard. Hiked another .25 miles to Chevron gas station and store.
091006 - At mile 5.5, turned left onto Pine Hollow. Hiked East 1 mile and
091007 - turned around at mile 6.5, past Camino Solano, and hiked back to
091008 - Ygnacio Valley Road. Stopped at Chevron gas station store mile 8 time
091009 - 1101 temp 81 and wind 04 mph; EKG looks uniform with no artifact.
091010 - Kardia reported HR 104 Tachycardia, - see below. ref SDS 0 9OEW
091011 - Bloating PL 8, both feet metatarsalgia PL 0. Left foot #1 PL 0 (wound
091012 - injury healed from peeling callus, per above. ref SDS 0 6D95), and #5
091013 - PL 2. Right foot #5 PL 0; top of #3, #4, #5 PL 0 feels better today,
091014 - than past 3 weeks. Took 1 Naproxen 500 mg total today 2 for pain.
091015 - Took 4 Magnesium complex 300 mg pills - total today 8 - for energy,
091016 - absorbing lactic acid, per research on 200101 0701. ref SDS 21 QP6L
091017 - Took 2 Turmeric Curcumin 2250 mg - total today 4 - to reduce
091018 - inflammation. Took 2 CoQ10 pills - total today 4 - to increase
091019 - energy. Sips softdrink purchased from Chev store for hydration and
091020 - swallowing nutrition - banana purchased at Lucky store enables
091021 - swallowing medication pills combined with bites of banana to slip
091022 - through LESV now contracted due to achalasia, pending dilation
091023 - procedure scheduled on 260821. Took Ubiquinol CoQ10 0.6 ml liquid for
091024 - HDL and energy to continue hike. Took Nuun electrolyte pill; all per
091025 - above. ref SDS 0 QV28 Began to aspirate from build up above LESV.
091026 - Left immediately to avoid vomitting on table in waiting area for car
091027 - wash. Hiked .25 miles back on Ygnacio Valley road - vomitted on dirt
091028 - trail next to the road. Hiked back and turned left on Pine Hollow
091029 - 0.25 miles East. Turned around and hiked back, then turned left onto
091030 - Campus Drive. Continued 1 mile West uphill 3% grade against wind 04
091031 - mph. The road bends North. Turned left heading West on Ygnacio
091032 - Valley road .50 mile. Temperature > 90 became a factor lowering
091033 - energy. Hiked West on flat grade .5 miles. Continued past Crystal
091034 - Ranch Road heading West on Ygnacio Valley road .5 mile uphill 3% grade
091035 - against wind 08 mph - temp 92. Not feeling well, but continued past
091036 - Cowell to summit. Hiked .5 mile back and turned left .25 mile
091037 - downhill 5% grade. Continued .25 mile with no shoulder separating
091038 - vehicle traffic. Turned left onto Treat for .25 mile; turned right on
091039 - Cunio and home. Ended hike mile 14 time 1323 temp 92, wind 09,
091040 - bloating PL 6, energy deficit 2, feet metatarsalgia PL 0, left foot #1
091041 - edge PL 0, #5 edge PL 2, right foot #1 PL 0, #5 PL 0, top #3, #4
091042 - blistering PL 0, burning sensation PL 0. EKG sinus with no artifact,
091043 - Kardia reported HR 114 Tachycardia - see below. ref SDS 0 DZ8H
091044 -
091045 -
091046 -
091047 -
091048 -
091049 -
091050 -
091051 -
091052 -
091053 -
091055 - ..
091056 - Kardia recorded HR 050 at 0712, Unclassified, looks mostly variable
091057 - heart beat lengths with p-waves and no artifact, likely no AFL after
091058 - hiking 15 miles temp 96 yesterday, per above, ref SDS 0 ICWP, and
091059 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely
091060 - arising from dysfuncational ANS following 6th ablation on 240611,
091061 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H Medical
091062 - history case study on 200101 0701. ref SDS 21 TSYT
091063 -
091064 -
091065 - pix: 950 450
091066 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260801-ecg-071229_mile_00_050_ucl_vrbl.pdf
091067 -
091068 -
091069 -
091070 -
091072 - ..
091073 - Polar HR GPS study *** low accuracy GPS used *** in Concord.
091074 - California, hike 14 miles with max temperature 92, - Medical history
091075 - case study on 200101 0701. ref SDS 21 118K
091076 - ..
091077 - x
091078 - Reported Samsung GPS mileage...
091079 - x x A
091080 - x x x
091081 - 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
091082 - 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
091083 - 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
091084 - 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
091085 - 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
091086 - 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
091087 - 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
091088 - 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
091089 -
091090 -
091091 - https://flow.polar.com/training/analysis/8390527638
091092 -
091094 - ..
091096 - 
091097 -
091098 -
091099 -
091100 -
091102 - ..
091103 - EKG at mile 08 time 1101, HR 104 temp 81, wind 04; Kardia reported
091104 - Unclassified... heart rate looks mostly uniform with no artifact -
091105 - medical history case study on 200101 0701. ref SDS 21 TSYT
091106 -
091107 -
091108 - pix: 950 450
091109 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260801-ecg-110140_mile_08_104_ucl_unfm.pdf
091110 -
091111 -
091112 -
091114 - ..
091115 - End hike EKG at mile 14, time 1323 HR 114 temp 92, wind 09 - Kardia
091116 - reported Tachycardia... looks like sinus mostly uniform with minor
091117 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT
091118 -
091119 -
091120 - pix: 950 450
091121 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260801-ecg-132351_mile_14_114_tcy_unfm.pdf
091122 -
091123 -
091124 -
091125 -
091127 - ..
091128 - Post hike HR profile beginning 1950, aligns with indoor activity after
091129 - hiking 14 miles with temperature 92, and showing no continuous
091130 - extended period steady elevated HR > 130, indicates no AFL, and no
091131 - possible atrial fibrillation, and after stopping Apixaban on 240711,
091132 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
091133 - patient history on 200101 0701. ref SDS 21 TSYT
091134 -
091136 - ..
091137 - 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
091138 - 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
091139 - 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
091140 - 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
091141 - 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
091142 - 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
091143 -
091144 -
091145 - https://flow.polar.com/training/analysis/8390870054
091147 - ..
091148 - HRV seems 10% 0 and 0% good and 90% poor overnight Polar HR report...
091149 -
091151 - 
091152 -
091153 -
091155 - ..
091156 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds
091157 - Lunch - banana with hiking meds
091158 - Dinner - steak asparagus onion cottage cheese tomato - later half peach, half banana milk
091160 - ..
091161 - Vomiting: 20% lunch - bloating PL 3 - no aspirating last night - looks good
091162 -
091163 -
091164 -
091165 -
091166 -
091167 -
091168 -
091169 -
091170 -
091171 -
091172 -
091173 -
091174 -
091175 -
091176 -
091177 -
091178 -
091179 -
091180 -
091181 -
091182 -
091183 -
091184 -
091185 -
091186 -
091187 -
091188 -
091189 -
091191 - ..
091192 - H I K I N G
091193 - M E D I C A T I O N Miles Time V I T A L S
091194 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
091195 - ====================================================================================
091196 - Sunday
091197 - 132. 260802 0505............................................. summary vitals, ref SDS 21 9HIW
091198 - 0510....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
091199 - 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
091200 - 0520....BP HR..................................................... 165 73 43 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
091201 - 0525....BP HR..................................................... 151 72 48
091202 - 0530....BP HR..................................................... 158 77 49
091203 - 0535....weight.................................... 187
091204 - 0600....Magnesium 300 mg 3 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
091205 - 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
091206 - 0600... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
091207 - 0600....Avocado to increase HDL - 1/2 small
091208 - 0600....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)
091209 - paused 0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N
091210 - paused 0000....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0
091211 - 0630... 05 CoQ10 Ubiquinol Liquid - increases energy
091212 - 0630....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses
091213 - 0000...
091214 - ..
091215 - 0635....miles........... 17.0 90.0 270 1292 minutes temp 88 wind 05 rain 0% light
091216 - 0000....................................................
091217 - 0920....mile 08 stopped EKG ... banana for potasium and swallow medication pills
091218 - 0920....Naproxen 500 mg took 1 pill
091219 - 0920... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
091220 - 0920... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
091221 - 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
091222 - 0920... Nuun Electrolytes Pill
091223 - 0920... 20 4060 CoQ10 Ubiquinol Liquid
091224 - 0000....................................................
091225 - 1156... Hike ends mile 17... ref SDS 0 XVTX
091226 - 0000...
091227 - 1215....weight.................................... 183 lost 4#
091228 - 1220....BP HR..................................................... 144 89 101
091229 - 1225....BP HR..................................................... 168 71 74
091230 - 1230....BP HR..................................................... 153 74 69
091231 - 0000...
091232 - ..
091233 - 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
091234 - 1830............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
091235 - 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
091236 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
091237 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
091238 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
091239 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
091240 - 0000... 10 60 Cyclobenzaprine sleep aid
091241 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
091242 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
091243 -
091245 - ..
091246 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
091247 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
091249 - ..
091250 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
091251 - pain no longer in toes down to heels. Symptoms declined pins and
091252 - needles tingling in evening, when feet are elevated in reclining
091253 - chair. Restless legs has not occurred for awhile, maybe because
091254 - hiking has declined considerably.
091256 - ..
091257 - Pain medication limitations reported in case study on 200101 0701.
091258 - ref SDS 21 KS5O
091260 - ..
091261 - Swallowing - difficult - must eat very slowly, lots of liquid.
091263 - ..
091264 - Reflux slept in recliner chair to control aspiration, vomited most of
091265 - everything.
091266 -
091267 -
091269 - ..
091270 - Summary... before starting had difficulty swallowing nutrition,
091271 - hydration and medications, due to bloating with aspiration. Same
091272 - occurred stopping at mile 10, for EKG, meds and nutrition. After
091273 - starting hike again, vomitted along the trail about .5 mile out.
091274 - Breathed through nose entire hike with no dyspnea and should continue
091275 - with hiking Crystal Ranch Road. PL 0 most of hike wearing new Brooks
091276 - Glycerin 23 shoes received last night. This morning, before hike took
091277 - 0 Naproxen 500 mg capsule; at mile 7 needed only 1 Naproxen. Heat in
091278 - high 80s was major factor limiting hike today.
091279 -
091281 - ..
091282 - Pain Location Pain Level % of Hike
091283 - ----------------------------------------- ---------- ---------
091284 - Stomach pain ischemic colitis bloating....... 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
091285 - 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
091286 - Hands cramping hurting - post hike........... 0 100 hands and thumbs cramping 2 hours after hike
091287 - Hands flinching post hike muscle spasms...... 0 100
091288 - Chest pain................................... 0 100 began about mile 8, taking Tramadol and Gabapenin mile 11helped
091289 - 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
091290 - Breathing ARDS............................... 0 100 difficulty breathing due to grade and length
091291 - Trapezius right side neck/shoulder........... 0 100 no recurrance today momentarily last half hike turning body and head left or right
091292 - Spine below neck lift left or right arm...... 0 100 did not occur today, but not a factor if head held steady
091293 - Neck turning head/chest left or right........ 0 100 episodes mile 18+ took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00
091294 - 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
091295 - Bicep tendon strain across elbow right arm... 0 100
091296 - 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
091297 - Hands sunburned itching rash................. 0 100 omitted sunblock today 260512, just forgot
091298 - Hip left..................................... 0 100 noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped
091299 - Back......................................... 0 100
091300 - Hip right.................................... 0 100
091301 - Shin splint pain both legs................... 0 100
091302 - Knee left skin lesions left side............. 0 100
091303 - 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
091304 - Knee left patalla...PRP 210705............... 0 100
091305 - Knee buckling left..PRP 191209.240108........ 0 100 began coming down Ygnacio Valley Road about mile 22 - intermittant
091306 - Knee left anterior cruciate ligament......... 0 100 same as knee buckling
091307 - Knee right cruciate ligament back of knee.... 0 100
091308 - 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
091309 - Achilees tendon right leg collaps/buckling... 0 100 did not recur today
091310 - Quadraceps both legs......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
091311 - Hamstring tendon left leg.PRP 210705......... 0 100
091312 - Hamstring left leg........................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
091313 - Hamstring right leg.......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
091314 - Calf left.................................... 0 100
091315 - Tailor's Bunion left foot.. PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
091316 - Tailor's Bunion right foot..PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
091317 - Plantar plate right foot..................... 0 100
091318 - Electric shocks middle 3 toes right foot..... 0 100 occurred intermittanly for minutes maybe twice
091319 - Metatarsalgia left foot...PRP 260403......... 0 100 PRP 260403 may be curing this injury
091320 - Metatarsalgia right foot..PRP 260403......... 0 100 PRP 260403 may be curing this injury
091321 - new Right foot fat pad below #3 & #4,,,,,,,,,,... 0 100 PRP 260403 may be curing this injury
091322 - 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
091323 - Planarfaciitis right foot..240213............. 0 100
091324 - Feet bottom soles hurt socks worn out........ 0 100
091325 - 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
091326 - Ankle left achilles heel on 220416........... 0 100 left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today
091327 - Ankle right pain on 200407 and 231203........ 0 100 xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal
091328 - Foot right possible fracture 200917......... 0 100 CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831
091329 - Hallux Valgus right foot..................... 0 100 seems stable despite hiking therapeutic miles
091330 - Cut big right foot........................... 0 100 Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316
091331 - 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.
091332 - Callus big toe right foot...PRP 210705....... 0 100 peeled large callus just before hike - stable no pain for multiple months
091333 - Blister below big toe right foot............. 0 100
091334 - Blister below big toe left foot.............. 0 100 new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725
091335 - 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
091336 - 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
091337 - Blister forefoot toes right foot............. 0 100
091338 - 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
091339 - 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
091340 - 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
091341 - 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,
091342 - Blister ring toe left foot.new 240602........ 0 100 seems healed today on 240626
091343 - 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
091344 - 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
091345 - 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
091346 - Blister top foot at toe line left foot....... 0 100
091347 - 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
091348 - 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
091349 - Blister top long and middle toes left foot... 0 100
091350 - 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
091351 - 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
091352 - Diabetes toes both feet inflamed, itch....... 0 100 Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms
091353 - 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
091354 - Peripheral neruopathy top left hand.......... 0 100 worse after 2 miles and calmed by mile 8
091355 - Peripheral neruopathy top right hand......... 0 100 worse after 2 miles and calmed by mile 8
091356 - Veering left................................. 0 100 veering left about mile 15 last 5 miles
091357 - Veering right ............................... 0 100
091358 - Fall......................................... 0 100
091359 - Restless legs................................ 0 100
091360 - AFL...5th ablation on 231214................. 0 100 Polar shows no AFL entire hike
091361 - 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
091362 - 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.
091363 - Hiker's rash vasculitis.see 210618........... 0 100 after hike quads show heat rash
091364 -
091365 -
091367 - ..
091368 - Shoes see case study on 200101 0701. ref SDS 21 SO4L Wore new Brooks
091369 - Glycerin 23 shoes size 11.5 width 4E, received 260730. Very good hike
091370 - again mostly PL 0 on feet over 15 miles. Starting there was some
091371 - pressure left foot edge #5, which resolved after about 1 mile.
091373 - ..
091374 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin
091375 - with more padding to transfer load from forefeet to instep arch,
091376 - received from Doctor Hewitson at VA Podiatry on 260727 0900.
091377 - ref SDS C6 LJHN
091379 - ..
091380 - Callus Injuries - in recent weeks, have peeled large sections of
091381 - callus on left foot #1 edge and bottom of toe, completed on 260725,
091382 - per above. ref SDS 0 TI2H Yesterday, Doctor Tang and his assistant,
091383 - John, in VA Podiatry maintained wounds from these feet callus removals
091384 - yesterday on 260730 0900. ref SDS C7 5A4I Today, callus injuries PL 0
091385 - during entire hike 15 miles - very favorable result of better shoes
091386 - and insets supported by expert care. If this is repeated with hiking
091387 - restored to therapeutic levels in days, weeks, months ahead, then HDL
091388 - 51 reported on 260727, should recover > 60, along with EPCs and
091389 - telomeres that maintain good health, including recovery from
091390 - dysfunctional ANS.
091392 - ..
091393 - Socks see case study on 200101 0701. ref SDS 21 0S6N Wore 2 pair
091394 - dual-ply Wrightsocks socks.
091395 -
091396 -
091398 - ..
091399 - Concord 17 mile route - did not take Glucosamine Chondroitin for OA
091400 - protection, mainly left knee treated with PRP intra articular
091401 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,
091402 - and also left hip, which flares few times a month, but not for a few
091403 - weeks. Decided not to take 1 Naproxen 500 mg for pain management -
091404 - there is no metatarsalgia pain in feet starting the hike today, and
091405 - both feet #1 and #5 calluses both PL 0 - were shaved down by Doctor
091406 - Tang in VAMC Podiatry on 260702 0830. ref SDS C2 5H6F Took 4
091407 - Magnesium Complex 300 mg pills for energy and absorbing lactic acid
091408 - that enable hiking, and reduce inflammation, all enabling HDL to
091409 - increase, and together with EPCs regress plaque in blood vessels - see
091410 - research on 200101 0701, ref SDS 21 QP6L Took 2 CoQ10 capsules for
091411 - energy, and took 2 Turmeric Curcumin 2250 mg pills that resolve
091412 - inflammation, essential for HDL to rise. Swallowed pills separately
091413 - and whole combined with small amount avocado, mayonaise, peanut butter
091414 - and margarine - pills slip through LESV much better when swallowed
091415 - combined with chewed up food in mouth. About 20 minutes later, after
091416 - dressing for hike, took liquid Turmeric Curcumin and Ubiquinol CoQ10
091417 - per above. ref SDS 0 7IDY CoQ10 is an enzyme produced in the body
091418 - that supports an electron transport chain (ETC) giving human cells
091419 - energy - see case study on 200101 0701. ref SDS 21 136K No breakfast
091420 - reduces bloating feeling starting hike from ischemic colitis caused by
091421 - taking statins and other drugs, also symptomatic of diabetes, colitis
091422 - and atrial fibrillation (arrhythmia - variable heart rate) see case
091423 - study on 200101 0701. ref SDS 21 O33H Did not take backpack to carry
091424 - stuff - good to build conditioning for Half Dome - because extra
091425 - weight increases pressure that causes feet injuries. Now that feet
091426 - injuries are on the wane, may resume taking backpack after another few
091427 - hikes. Did not hike mile loop around the block to start hike, which
091428 - identifies bloating and feet wound issues that can be treated, before
091429 - problems arise miles from home. Hiked Cuneo .25 mile and turned left,
091430 - onto Treat. Starting hike feet feel less swelled like pins and
091431 - needles - did not feel electrical shocks in balls of feet due to
091432 - peripheral neuropathy caused by statins, diabetes, and dysfunctional
091433 - ANS. These afflictions seem quiet the past weeks. Bottom of both
091434 - feet minor metatarsalgia pain - significant pain ( > 5 ) both feet #1
091435 - and #5 has caused pausing hiking for injuries to heal past 60 days,
091436 - see case study on 200101 0701. ref SDS 21 BGZV Pausing hiking caused
091437 - HDL 65 on 260302, lowering to HDL 51 in recent lab on 260727.
091438 - Breathed through nose entire hike with no dyspnea, indicating
091439 - conditioning has sustained, despite minimal hiking last few months,
091440 - albeit have not been hiking Crystal Ranch Road, resulting in dyspnea
091441 - on 260727, hiking uphill to Cliff House and on Point Lobos for .25
091442 - mile returning to hospital. Temperature started at 65, and reached
091443 - 88. East wind 05 mph and mostly 3 mph, which was cooling at times; in
091444 - fact heat was debilitating last 3 miles. Continued East on Treat .5
091445 - miles. Turned right hiking South on asphalt shoulder of Turtle Creek
091446 - Road for 1.5 miles mostly flat grade, some places 3% uphill, and very
091447 - light traffic. Did not hike across Newhall Community park and back
091448 - today. Continued on Turtle Creek Road uphill 4% grade. At end of
091449 - Turtle Creek Road turned left onto Ayers hiking East .75 miles on
091450 - asphalt road shoulder. At mile 3, turned right onto Clayton Road
091451 - hiking South .5 miles on asphalt pavement in parking lots of shopping
091452 - complex. A group of about 20 Boy Scouts were forming to perform a
091453 - pick-up cleaning service on Clayton Road from Ayers North to Baily
091454 - Road. Stopped at Lucky store to buy banana with potassium that
091455 - complements meds for energy, and aids swallowing meds to slip through
091456 - tightening LESV, pending EGD dilation on 269821. Crossed Alberto Way
091457 - at traffic light and continued on concrete sidewalk .5 miles. Energy
091458 - good - did not need to stop at mile 4 time ____ in Mountain Mike's
091459 - Pizza restaurant to take meds for energy to hike. Turned right going
091460 - West on Ygnacio Valley Road using concrete sidewalk .5 miles.
091461 - Continued past Park Highlands Road at Stop Light and heading West .25
091462 - miles on very narrow asphalt shoulder next to high risk heavy morning
091463 - commute traffic. Crossed to South side Ygnacio Valley Road hiking on
091464 - wider shoulder past stop light at Michigan Boulevard. Hiked another
091465 - .25 miles to Chevron gas station and store. At mile 5.5, turned left
091466 - onto Pine Hollow. Hiked East 2 miles and turned around at mile 8,
091467 - before Mitchell Canyon Road. Hiked back to Ygnacio Valley Road.
091468 - Stopped at Chevron gas station store mile 10, time 0920 temp 74 and
091469 - wind 04 mph; EKG looks uniform with no artifact. Kardia reported HR
091470 - 104 Tachycardia, - see below. ref SDS 0 LJHL Bloating PL 6, both feet
091471 - metatarsalgia PL 2. Left foot #1 PL 2 and #5 PL 3. Right foot #5 PL
091472 - 0; top of #3, #4, #5 PL 0 feels better today, than past 3 weeks. Took
091473 - 1 Naproxen 500 mg total today 1 for pain. Took 4 Magnesium complex
091474 - 300 mg pills - total today 8 - for energy, absorbing lactic acid, per
091475 - research on 200101 0701. ref SDS 21 QP6L Took 2 Turmeric Curcumin
091476 - 2250 mg - total today 4 - to reduce inflammation. Took 2 CoQ10 pills
091477 - - total today 4 - to increase energy. Sips softdrink purchased from
091478 - Chev store for hydration and swallowing nutrition - banana purchased
091479 - at Lucky store enables swallowing medication pills combined with bites
091480 - of banana to slip through LESV now contracted due to achalasia,
091481 - pending dilation procedure scheduled on 260821. Took Ubiquinol CoQ10
091482 - 0.6 ml liquid for HDL and energy to continue hike. Took Nuun
091483 - electrolyte pill; all per above. ref SDS 0 OLDW Began to aspirate
091484 - from build up above LESV. Left immediately to avoid vomitting on
091485 - table in waiting area for car wash. Hiked .5 miles back on Ygnacio
091486 - Valley road - vomitted along dirt trail next to the road. At Michigan
091487 - Boulevard hiked back and turned left on Pine Hollow 0.5 miles East.
091488 - At Camino Solano turned around and hiked back, then turned left onto
091489 - Campus Drive. Continued 1 mile West uphill 3% grade against wind 04
091490 - mph. The road bends North. Turned left heading West on Ygnacio
091491 - Valley road .50 mile. Temperature nearing 90 became a factor lowering
091492 - energy. Hiked West on flat grade .5 miles. Continued past Crystal
091493 - Ranch Road heading West on Ygnacio Valley road .5 mile uphill 3% grade
091494 - against wind 02 mph - temp 88. Not feeling well, but continued past
091495 - Cowell to summit. Hiked .5 mile back and turned left .25 mile
091496 - downhill 5% grade. Continued .25 mile with no shoulder separating
091497 - vehicle traffic. Turned left onto Treat for .25 mile; turned right on
091498 - Cunio hiking .25 mile and turned around at Kaski. Hiked back .25 mile
091499 - and home. Ended hike mile 17 time 1154 temp 88, wind 02, bloating PL
091500 - 4, energy deficit 1, feet metatarsalgia PL 2, left foot #1 edge PL 2,
091501 - #5 edge PL 2, right foot #1 PL 0, #5 PL 2, top #3, #4 blistering PL 0,
091502 - burning sensation PL 0. EKG sinus with no artifact, Kardia reported
091503 - HR 115 Tachycardia - see below. ref SDS 0 XVTX
091504 -
091505 -
091506 -
091507 -
091508 -
091509 -
091510 -
091511 -
091512 -
091513 -
091515 - ..
091516 - Kardia recorded HR 045 at 0538, Possible Atrial Fibrillation, looks
091517 - mostly variable heart beat lengths with p-waves and no artifact,
091518 - likely no AFL after hiking 14 miles temp 92 yesterday, per above,
091519 - ref SDS 0 9J2P, and diagnosed ischemic colitis on 200612 0700,
091520 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th
091521 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.
091522 - ref SDS 73 NA4H Medical history case study on 200101 0701.
091523 - ref SDS 21 TSYT
091524 -
091525 -
091526 - pix: 950 450
091527 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260802-ecg-053859_mile_00_045_paf_vrbl.pdf
091528 -
091529 -
091530 -
091531 -
091533 - ..
091534 - Polar HR GPS study *** low accuracy GPS used *** in Concord.
091535 - California, hike 17 miles with max temperature 88, - Medical history
091536 - case study on 200101 0701. ref SDS 21 118K
091537 - ..
091538 - x
091539 - Reported Samsung GPS mileage...
091540 - x x A
091541 - x x x
091542 - 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
091543 - 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
091544 - 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
091545 - 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
091546 - 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
091547 - 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
091548 - 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
091549 - 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
091550 -
091551 -
091552 - https://flow.polar.com/training/analysis/8391157641
091553 -
091555 - ..
091557 - 
091558 -
091559 -
091560 -
091561 -
091563 - ..
091564 - EKG at mile 10 time 0920, HR 107 temp 74, wind 04; Kardia reported
091565 - Tachycardia... heart rate looks mostly uniform with no artifact -
091566 - medical history case study on 200101 0701. ref SDS 21 TSYT
091567 -
091568 -
091569 - pix: 950 450
091570 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260802-ecg-092042_mile_10_107_tcy_unfm.pdf
091571 -
091572 -
091573 -
091575 - ..
091576 - End hike EKG at mile 17, time 1154 HR 115 temp 88, wind 02 - Kardia
091577 - reported Tachycardia... looks like sinus mostly uniform with minor
091578 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT
091579 -
091580 -
091581 - pix: 950 450
091582 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260802-ecg-115423_mile_17_115_tcy_unfm.pdf
091583 -
091584 -
091585 -
091586 -
091588 - ..
091589 - Post hike HR profile beginning 1916, aligns with indoor activity after
091590 - hiking 17 miles with temperature 88, and showing no continuous
091591 - extended period steady elevated HR > 130, indicates no AFL, and no
091592 - possible atrial fibrillation, and after stopping Apixaban on 240711,
091593 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
091594 - patient history on 200101 0701. ref SDS 21 TSYT
091595 -
091597 - ..
091598 - 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
091599 - 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
091600 - 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
091601 - 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
091602 - 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
091603 - 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
091604 -
091605 -
091606 - https://flow.polar.com/training/analysis/8391510846
091608 - ..
091609 - HRV seems 0% 0 and 20% good and 80% poor overnight Polar HR report...
091610 -
091612 - 
091613 -
091614 -
091616 - ..
091617 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds
091618 - Lunch - banana with hiking meds
091619 - Dinner - steak asparagus onion cottage cheese tomato - later half peach, half banana milk
091621 - ..
091622 - Vomiting: 20% lunch - 100% dinner - bloating PL 5 sent letter to
091623 - Gracie asking for EGD dilation on Tuesday or Friday.
091624 -
091625 -
091626 -
091627 -
091628 -
091629 -
091630 -
091631 -
091632 -
091633 -
091634 -
091635 -
091636 -
091637 -
091638 -
091639 -
091640 -
091641 -
091642 -
091643 -
091644 -
091645 -
091646 -
091647 -
091648 -
091649 -
091650 -
091651 -
091653 - ..
091654 - H I K I N G
091655 - M E D I C A T I O N Miles Time V I T A L S
091656 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
091657 - ====================================================================================
091658 - Monday
091659 - 132. 260803 0510............................................. summary vitals, ref SDS 21 9HIW
091660 - 0510....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
091661 - 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
091662 - 0520....BP HR..................................................... 176 79 66 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
091663 - 0525....BP HR..................................................... 171 91 68
091664 - 0530....BP HR..................................................... 157 62 53
091665 - 0535....weight.................................... 185
091666 - 0600....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
091667 - 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
091668 - 0600... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
091669 - 0600....Avocado to increase HDL - 1/2 small
091670 - 0600....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)
091671 - paused 0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N
091672 - 0600....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0
091673 - 0630... 05 CoQ10 Ubiquinol Liquid - increases energy
091674 - 0630....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses
091675 - 0000...
091676 - ..
091677 - 0638....miles........... 21.0 21.0 344 344 minutes temp 95 wind 08 rain 0% light
091678 - 0000....................................................
091679 - 1038....mile 14 stopped EKG ... banana for potasium and swallow medication pills
091680 - 1038....Naproxen 500 mg took 1 pill
091681 - 1038... Magnesium 300 mg 3 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
091682 - paused 0000... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
091683 - 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
091684 - 1038... Nuun Electrolytes Pill
091685 - 1038... 20 4060 CoQ10 Ubiquinol Liquid
091686 - 0000....................................................
091687 - 1311... Hike ends mile 21... ref SDS 0 XVTX
091688 - 0000...
091689 - 1325....weight.................................... 180 lost 5#
091690 - 1342....BP HR..................................................... 123 76 109
091691 - 1350....BP HR..................................................... 125 73 87
091692 - 1358....BP HR..................................................... 127 73 88
091693 - 0000...
091694 - ..
091695 - 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
091696 - 1830............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
091697 - 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
091698 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
091699 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
091700 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
091701 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
091702 - 0000... 10 60 Cyclobenzaprine sleep aid
091703 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
091704 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
091705 -
091707 - ..
091708 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
091709 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
091711 - ..
091712 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
091713 - pain no longer in toes down to heels. Symptoms declined pins and
091714 - needles tingling in evening, when feet are elevated in reclining
091715 - chair. Restless legs has not occurred for awhile, maybe because
091716 - hiking has declined considerably.
091718 - ..
091719 - Pain medication limitations reported in case study on 200101 0701.
091720 - ref SDS 21 KS5O
091722 - ..
091723 - Swallowing - difficult - must eat very slowly, lots of liquid.
091725 - ..
091726 - Reflux slept in recliner chair to control aspiration, vomited most of
091727 - everything.
091728 -
091729 -
091731 - ..
091732 - Summary... before starting less difficulty than yesterday swallowing
091733 - nutrition, hydration and medications, due to bloating with aspiration,
091734 - as occurred yesterday. Did not occur stopping at mile 14, for EKG,
091735 - meds and nutrition, partly because omitted taking some drugs to reduce
091736 - clogging LESV. PL 0 most of hike wearing new Brooks Glycerin 23 shoes
091737 - received on 260730. This morning, before hike took 1 Naproxen 500 mg
091738 - capsule; at mile 14 needed only 1 Naproxen. Heat in mid 90s was major
091739 - factor limiting hike today. Starting hike was very sluggish. At mile
091740 - 2, became very energetic with long fast strides. At mile 4 suddenly
091741 - became sluggish again, similar to when Ferritin dropped far below
091742 - range, thought I would have end hike. At mile 6, energy suddenly
091743 - returned. Rest of hike routine, except after stopping at Chevron
091744 - store for EPG, meds, hydration and nutrition, on resuming hike,
091745 - flipped into AFL for only few minutes. Rest of hike was normal
091746 - returning home.
091747 -
091749 - ..
091750 - Pain Location Pain Level % of Hike
091751 - ----------------------------------------- ---------- ---------
091752 - Stomach pain ischemic colitis bloating....... 4 60 bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating
091753 - 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
091754 - Hands cramping hurting - post hike........... 0 100 hands and thumbs cramping 2 hours after hike
091755 - Hands flinching post hike muscle spasms...... 0 100
091756 - Chest pain................................... 0 100 began about mile 8, taking Tramadol and Gabapenin mile 11helped
091757 - 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
091758 - Breathing ARDS............................... 0 100 difficulty breathing due to grade and length
091759 - Trapezius right side neck/shoulder........... 0 100 no recurrance today momentarily last half hike turning body and head left or right
091760 - Spine below neck lift left or right arm...... 0 100 did not occur today, but not a factor if head held steady
091761 - Neck turning head/chest left or right........ 0 100 episodes mile 18+ took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00
091762 - 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
091763 - Bicep tendon strain across elbow right arm... 0 100
091764 - 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
091765 - Hands sunburned itching rash................. 0 100 omitted sunblock today 260512, just forgot
091766 - Hip left..................................... 0 100 noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped
091767 - Back......................................... 0 100
091768 - Hip right.................................... 0 100
091769 - Shin splint pain both legs................... 0 100
091770 - Knee left skin lesions left side............. 0 100
091771 - 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
091772 - Knee left patalla...PRP 210705............... 0 100
091773 - Knee buckling left..PRP 191209.240108........ 0 100 began coming down Ygnacio Valley Road about mile 22 - intermittant
091774 - Knee left anterior cruciate ligament......... 0 100 same as knee buckling
091775 - Knee right cruciate ligament back of knee.... 0 100
091776 - 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
091777 - Achilees tendon right leg collaps/buckling... 0 100 did not recur today
091778 - Quadraceps both legs......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
091779 - Hamstring tendon left leg.PRP 210705......... 0 100
091780 - Hamstring left leg........................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
091781 - Hamstring right leg.......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
091782 - Calf left.................................... 0 100
091783 - Tailor's Bunion left foot.. PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
091784 - Tailor's Bunion right foot..PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
091785 - Plantar plate right foot..................... 0 100
091786 - Electric shocks middle 3 toes right foot..... 0 100 occurred intermittanly for minutes maybe twice
091787 - Metatarsalgia left foot...PRP 260403......... 0 100 PRP 260403 may be curing this injury
091788 - Metatarsalgia right foot..PRP 260403......... 0 100 PRP 260403 may be curing this injury
091789 - new Right foot fat pad below #3 & #4,,,,,,,,,,... 0 100 PRP 260403 may be curing this injury
091790 - 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
091791 - Planarfaciitis right foot..240213............. 0 100
091792 - Feet bottom soles hurt socks worn out........ 0 100
091793 - 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
091794 - Ankle left achilles heel on 220416........... 0 100 left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today
091795 - Ankle right pain on 200407 and 231203........ 0 100 xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal
091796 - Foot right possible fracture 200917......... 0 100 CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831
091797 - Hallux Valgus right foot..................... 0 100 seems stable despite hiking therapeutic miles
091798 - Cut big right foot........................... 0 100 Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316
091799 - 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.
091800 - Callus big toe right foot...PRP 210705....... 0 100 peeled large callus just before hike - stable no pain for multiple months
091801 - Blister below big toe right foot............. 0 100
091802 - Blister below big toe left foot.............. 0 100 new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725
091803 - 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
091804 - 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
091805 - Blister forefoot toes right foot............. 0 100
091806 - 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
091807 - 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
091808 - 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
091809 - 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,
091810 - Blister ring toe left foot.new 240602........ 0 100 seems healed today on 240626
091811 - 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
091812 - 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
091813 - 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
091814 - Blister top foot at toe line left foot....... 0 100
091815 - 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
091816 - 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
091817 - Blister top long and middle toes left foot... 0 100
091818 - 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
091819 - 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
091820 - Diabetes toes both feet inflamed, itch....... 0 100 Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms
091821 - 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
091822 - Peripheral neruopathy top left hand.......... 0 100 worse after 2 miles and calmed by mile 8
091823 - Peripheral neruopathy top right hand......... 0 100 worse after 2 miles and calmed by mile 8
091824 - Veering left................................. 0 100 veering left about mile 15 last 5 miles
091825 - Veering right ............................... 0 100
091826 - Fall......................................... 0 100
091827 - Restless legs................................ 0 100
091828 - AFL...5th ablation on 231214................. 0 100 Polar shows no AFL entire hike
091829 - 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
091830 - 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.
091831 - Hiker's rash vasculitis.see 210618........... 0 100 after hike quads show heat rash
091832 -
091833 -
091835 - ..
091836 - Shoes see case study on 200101 0701. ref SDS 21 SO4L Wore new Brooks
091837 - Glycerin 23 shoes size 11.5 width 4E, received 260730. Very good hike
091838 - again mostly PL 0 on feet over 21 miles. Starting there was some
091839 - pressure left foot edge #5, which resolved after about 1 mile.
091841 - ..
091842 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin
091843 - with more padding to transfer load from forefeet to instep arch,
091844 - received from Doctor Hewitson at VA Podiatry on 260727 0900.
091845 - ref SDS C6 LJHN
091847 - ..
091848 - Callus Injuries - in recent weeks, have peeled large sections of
091849 - callus on left foot #1 edge and bottom of toe, completed on 260725,
091850 - per above. ref SDS 0 TI2H Yesterday, Doctor Tang and his assistant,
091851 - John, in VA Podiatry maintained wounds from these feet callus removals
091852 - yesterday on 260730 0900. ref SDS C7 5A4I Today, callus injury
091853 - recurred left foot #1 PL 3 last 4 miles, including wrapping beneath
091854 - the toe - still comparitively favorable result of better shoes and
091855 - insets supported by expert care. Good news is that while the injury
091856 - expresses pain in moments, the foot, shoe, insert and socks somehow
091857 - make adjustment that ends pain, i.e., it just goes away. If this is
091858 - repeated with hiking restored to therapeutic levels in days, weeks,
091859 - months ahead, then HDL 51 reported on 260727, should recover > 60,
091860 - along with EPCs and telomeres that maintain good health, including
091861 - recovery from dysfunctional ANS.
091863 - ..
091864 - Socks see case study on 200101 0701. ref SDS 21 0S6N Wore 2 pair
091865 - dual-ply Wrightsocks socks.
091866 -
091867 -
091869 - ..
091870 - Concord 21 mile route - took ot take Glucosamine Chondroitin for OA
091871 - protection, mainly left knee treated with PRP intra articular
091872 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,
091873 - and also left hip, which flares few times a month, but not for a month
091874 - or more. Took 1 Naproxen 500 mg for pain management - cut in half to
091875 - aid swallowing, there is no metatarsalgia pain in feet starting the
091876 - hike today, and both feet #1 and #5 calluses both PL 0 - were shaved
091877 - down by Doctor Tang in VAMC Podiatry on 260702 0830. ref SDS C2 5H6F
091878 - Took 4 Magnesium Complex 300 mg pills for energy and absorbing lactic
091879 - acid that enable hiking, and reduce inflammation, all enabling HDL to
091880 - increase, and together with EPCs regress plaque in blood vessels - see
091881 - research on 200101 0701, ref SDS 21 QP6L Took 2 CoQ10 capsules for
091882 - energy, and took 2 Turmeric Curcumin 2250 mg pills that resolve
091883 - inflammation, essential for HDL to rise. Swallowed pills separately
091884 - and whole combined with small amount avocado, mayonaise, peanut butter
091885 - and margarine - pills slip through LESV much better when swallowed
091886 - combined with chewed up food in mouth. About 20 minutes later, after
091887 - dressing for hike, took liquid Turmeric Curcumin and Ubiquinol CoQ10
091888 - per above. ref SDS 0 AZE4 CoQ10 is an enzyme produced in the body
091889 - that supports an electron transport chain (ETC) giving human cells
091890 - energy - see case study on 200101 0701. ref SDS 21 136K No breakfast
091891 - reduces bloating feeling starting hike from ischemic colitis caused by
091892 - taking statins and other drugs, also symptomatic of diabetes, colitis
091893 - and atrial fibrillation (arrhythmia - variable heart rate) see case
091894 - study on 200101 0701. ref SDS 21 O33H Did not take backpack to carry
091895 - stuff - good to build conditioning for Half Dome - because extra
091896 - weight increases pressure that causes feet injuries. Now that feet
091897 - injuries are on the wane, may resume taking backpack after another few
091898 - hikes. Did not hike mile loop around the block to start hike, which
091899 - identifies bloating and feet wound issues that can be treated, before
091900 - problems arise miles from home. Hiked Cuneo .25 mile and turned left,
091901 - onto Treat - was very slow and weak. Starting hike feet feel less
091902 - swelled like pins and needles - did not feel electrical shocks in
091903 - balls of feet due to peripheral neuropathy caused by statins,
091904 - diabetes, and dysfunctional ANS. These afflictions seem quiet the
091905 - past weeks. Bottom of both feet minor metatarsalgia pain -
091906 - significant pain ( > 5 ) both feet #1 and #5 has caused pausing hiking
091907 - for injuries to heal past 60 days, see case study on 200101 0701.
091908 - ref SDS 21 BGZV Pausing hiking caused HDL 65 on 260302, lowering to
091909 - HDL 51 last week in lab on 260727. Breathed through nose entire hike
091910 - with no dyspnea, indicating conditioning has sustained, despite
091911 - minimal hiking last few months, albeit have not been hiking Crystal
091912 - Ranch Road, resulting in dyspnea on 260727, hiking uphill to Cliff
091913 - House and on Point Lobos for .25 mile returning to hospital.
091914 - Temperature started at 65, and reached 95. East wind 07 mph and
091915 - mostly 3 mph, which was cooling at times; in fact heat was
091916 - debilitating last 3 miles. Continued East on Treat .5 miles. Turned
091917 - right hiking South on asphalt shoulder of Turtle Creek Road for 1.5
091918 - miles mostly flat grade, some places 3% uphill, and very light
091919 - traffic. Energy increased to normal pace 15 minute miles. Hiked
091920 - across Newhall Community park and back today. Continued on Turtle
091921 - Creek Road uphill 4% grade. At end of Turtle Creek Road turned left
091922 - onto Ayers hiking East .75 miles on asphalt road shoulder. At mile 3,
091923 - turned right onto Clayton Road hiking South .5 miles on asphalt
091924 - pavement in parking lots of shopping complex. Stopped at Lucky store
091925 - to buy banana with potassium that complements meds for energy, and
091926 - aids swallowing meds to slip through tightening LESV, pending EGD
091927 - dilation on 260821. Crossed Alberto Way at traffic light and
091928 - continued on concrete sidewalk .5 miles. Energy suddenly totally
091929 - crashed - needed to stop at mile 4 time 0730 in Mountain Mike's Pizza
091930 - restaurant to take meds for energy to hike; however, they are closed
091931 - at that hour, so plodded along. Turned right going West on Ygnacio
091932 - Valley Road using concrete sidewalk .5 miles. Continued past Park
091933 - Highlands Road at Stop Light and heading West .25 miles on very narrow
091934 - asphalt shoulder next to high risk heavy morning commute traffic.
091935 - Crossed to South side Ygnacio Valley Road hiking on wider shoulder
091936 - past stop light at Michigan Boulevard. Hiked another .25 miles to
091937 - Chevron gas station and store. At mile 6, turned left onto Pine
091938 - Hollow, to take Campus Drive and head home. However, energy somehow
091939 - significantly increased - hiked East 2.5 miles to end of Pine Hollow.
091940 - turned around and hiked back to Ygnacio Valley Road. Rather than stop
091941 - at the gas station mile 10/11, for EKG, meds, hydration and nutrition
091942 - decided to hike .5 mile to Michigan Boulevard and back. On reaching
091943 - Michigan Boulevard contined another .5 mile to Clayton Road, turned
091944 - right kept going another .25 mile, then returned. Stopped at Chevron
091945 - gas station store mile 14, time 1038. This signals significant change
091946 - from never having hiked 14 miles without stopping, and after having
091947 - severe energy decline at mile 4 - could this be related to unstable
091948 - ANS? Temp 80 and wind 03 mph; EKG looks uniform with no artifact.
091949 - Kardia reported HR 104 Tachycardia, - see below. ref SDS 0 T24E
091950 - Bloating PL 4, both feet metatarsalgia PL 2. Left foot #1 PL 3 and #5
091951 - PL 2. Right foot #5 PL 1; top of #3, #4, #5 PL 0 feels better today,
091952 - than past 3 weeks. Reduced drugs to avoid vomiting and aspiration
091953 - that occurred yesterday. Took 1 Naproxen 500 mg total today 2 for
091954 - pain. Took 3 Magnesium complex 300 mg pills - total today 7 - for
091955 - energy, absorbing lactic acid, per research on 200101 0701.
091956 - ref SDS 21 QP6L Took 1 Turmeric Curcumin 2250 mg - total today 3 - to
091957 - reduce inflammation. Took 0 CoQ10 pills - total today 2 - to increase
091958 - energy. Sips softdrink purchased from Chev store for hydration and
091959 - swallowing nutrition - banana purchased at Lucky store enables
091960 - swallowing medication pills combined with bites of banana to slip
091961 - through LESV now contracted due to achalasia, pending dilation
091962 - procedure scheduled on 260821. Took Ubiquinol CoQ10 0.6 ml liquid for
091963 - HDL and energy to continue hike. Took Nuun electrolyte pill; all per
091964 - above. ref SDS 0 OLDW Did not begin to aspirate from build up above
091965 - LESV. Left immediately to avoid vomitting on table in waiting area
091966 - for car wash. Hiked .5 miles back on Ygnacio Valley road - vomitted
091967 - along dirt trail next to the road, like yesterday. Polar HR report
091968 - shows AFL likely occurred at 174 BPM for only 5 minutes, on standing
091969 - up and resuming hike. At Michigan Boulevard hiked back and turned
091970 - left onto Pine Hollow about 0.25 miles East. At Discovery Way turned
091971 - around and hiked back, then turned left onto Campus Drive. Continued
091972 - 1 mile West uphill 3% grade against wind 04 mph. The road bends
091973 - North. Turned left heading West on Ygnacio Valley road .50 mile.
091974 - Temperature 95 became a factor lowering energy. Continued past
091975 - Crystal Ranch Road on Ygnacio Valley road .5 mile uphill 3% grade
091976 - against wind 03 mph - temp 95. Feeling better than yesterday,
091977 - continued past Cowell to summit. Hiked .5 mile back and turned left
091978 - .25 mile downhill 5% grade. Continued .25 mile with very narrow
091979 - shoulder and no demarcation line separating vehicle traffic. Turned
091980 - left onto Treat for .25 mile; turned right on Cunio hiking .25 mile
091981 - and turned around at Kaski. Hiked back .25 mile and home. Ended hike
091982 - mile 21 time 1311 temp 95, wind 08, bloating PL 4, energy deficit 2,
091983 - feet metatarsalgia PL 2, left foot #1 edge PL 4, #5 edge PL 3, right
091984 - foot #1 PL 0, #5 PL 2, top #3, #4 blistering PL 0, burning sensation
091985 - PL 0. EKG sinus with no artifact, Kardia reported HR 126 Tachycardia
091986 - - see below. ref SDS 0 ZJXQ
091987 -
091988 -
091989 -
091990 -
091991 -
091992 -
091993 -
091994 -
091995 -
091996 -
091998 - ..
091999 - Kardia recorded HR 062 at 0553, Possible Atrial Fibrillation, looks
092000 - mostly variable heart beat lengths with p-waves and no artifact,
092001 - likely no AFL after hiking 17 miles temp 88 yesterday, per above,
092002 - ref SDS 0 7IDY, and diagnosed ischemic colitis on 200612 0700,
092003 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th
092004 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.
092005 - ref SDS 73 NA4H Medical history case study on 200101 0701.
092006 - ref SDS 21 TSYT
092007 -
092008 -
092009 - pix: 950 450
092010 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260803-ecg-055307_mile_00_062_paf_vrbl.pdf
092011 -
092012 -
092013 -
092014 -
092016 - ..
092017 - Polar HR GPS study *** low accuracy GPS used *** in Concord.
092018 - California, hike 21 miles with max temperature 95, - Medical history
092019 - case study on 200101 0701. ref SDS 21 118K
092020 - ..
092021 - x
092022 - Reported Samsung GPS mileage...
092023 - x x A
092024 - x x x
092025 - 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
092026 - 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
092027 - 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
092028 - ** 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
092029 - 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
092030 - 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
092031 - 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
092032 - 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
092033 -
092034 -
092035 -
092036 - https://flow.polar.com/training/analysis/8391855388
092037 -
092039 - ..
092041 - 
092042 -
092043 -
092044 -
092045 -
092047 - ..
092048 - EKG at mile 14 time 1038, HR 115 temp 80, wind 03; Kardia reported
092049 - Tachycardia... heart rate looks totaly uniform with no artifact -
092050 - medical history case study on 200101 0701. ref SDS 21 TSYT
092051 -
092052 -
092053 - pix: 950 450
092054 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260803-ecg-103807_mile_14_115_tcy_unfm.pdf
092055 -
092056 -
092057 -
092059 - ..
092060 - End hike EKG at mile 21, time 1311 HR 126 temp 95, wind 08 - Kardia
092061 - reported Tachycardia... looks like sinus mostly uniform with no
092062 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT
092063 -
092064 -
092065 - pix: 950 450
092066 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260803-ecg-131143_mile_21_126_tcy_unfm.pdf
092067 -
092068 -
092069 -
092070 -
092072 - ..
092073 - Post hike HR profile beginning 2032, aligns with indoor activity after
092074 - hiking 21 miles with temperature 95, and showing no continuous
092075 - extended period steady elevated HR > 130, indicates no AFL, and no
092076 - possible atrial fibrillation, and after stopping Apixaban on 240711,
092077 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
092078 - patient history on 200101 0701. ref SDS 21 TSYT
092079 -
092081 - ..
092082 - 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
092083 - 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
092084 - 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
092085 - 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
092086 - 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
092087 - 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
092088 -
092089 -
092090 - https://flow.polar.com/training/analysis/8392197211
092092 - ..
092093 - HRV seems 30% 0 and 20% good and 50% poor overnight Polar HR report...
092094 -
092096 - 
092097 -
092098 -
092100 - ..
092101 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds
092102 - Lunch - banana with hiking meds
092103 - Dinner - steak asparagus onion cottage cheese tomato - pancake milk
092105 - ..
092106 - Vomiting: 0% - bloating PL 4
092107 -
092108 -
092109 -
092110 -
092111 -
092112 -
092113 -
092114 -
092115 -
092116 -
092117 -
092118 -
092119 -
092120 -
092121 -
092122 -
092123 -
092124 -
092125 -
092126 -
092127 -
092128 -
092129 -
092130 -
092131 -
092132 -
092133 -
092134 -
092136 - ..
092137 - H I K I N G
092138 - M E D I C A T I O N Miles Time V I T A L S
092139 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
092140 - ====================================================================================
092141 - Tuesday
092142 - 132. 260804 0505............................................. summary vitals, ref SDS 21 9HIW
092143 - 0510....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
092144 - 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
092145 - 0520....BP HR..................................................... 187 68 45 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
092146 - 0525....BP HR..................................................... 165 78 53
092147 - 0530....BP HR..................................................... 160 68 49
092148 - 0535....weight.................................... 185
092149 - 0540....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
092150 - 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
092151 - 0540... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
092152 - 0540....Avocado to increase HDL - 1/2 small
092153 - 0540....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)
092154 - 0540....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N
092155 - 0615....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0
092156 - 0615... 05 CoQ10 Ubiquinol Liquid - increases energy
092157 - 0615....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses
092158 - 0000...
092159 - ..
092160 - 0622....miles........... 21.0 42.0 340 684 minutes temp 91 wind 12 rain 0% light
092161 - 0000....................................................
092162 - 0955....mile 12 stopped EKG ... banana for potasium and swallow medication pills
092163 - 0955....Naproxen 500 mg took 1 pill
092164 - 0955... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
092165 - skipped 0000... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
092166 - 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
092167 - 0955... Nuun Electrolytes Pill
092168 - 0955... 20 4060 CoQ10 Ubiquinol Liquid
092169 - 0000....................................................
092170 - 1314... Hike ends mile 21... ref SDS 0 KYSA
092171 - 0000...
092172 - 1325....weight.................................... 180 lost 5#
092173 - 1333....BP HR..................................................... 149 80 106
092174 - 1340....BP HR..................................................... 101 68 98
092175 - 1346....BP HR..................................................... 101 70 93
092176 - 0000...
092177 - ..
092178 - 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
092179 - 0000............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
092180 - 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
092181 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
092182 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
092183 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
092184 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
092185 - 0000... 10 60 Cyclobenzaprine sleep aid
092186 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
092187 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
092188 -
092190 - ..
092191 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
092192 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
092194 - ..
092195 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
092196 - pain no longer in toes down to heels. Symptoms have increased pins
092197 - and needles tingling in evening, when feet are elevated in reclining
092198 - chair. Restless legs has not occurred for awhile, maybe because
092199 - hiking declined considerably - may return since hiking increased OA
092200 - 260727.
092202 - ..
092203 - Pain medication limitations reported in case study on 200101 0701.
092204 - ref SDS 21 KS5O
092206 - ..
092207 - Swallowing - difficult - must eat very slowly, lots of liquid to
092208 - avoid vomiting, gagging, aspiration.
092210 - ..
092211 - Reflux slept in recliner chair to control aspiration, vomited most of
092212 - everything.
092213 -
092214 -
092216 - ..
092217 - Summary... before starting same difficulty as yesterday swallowing
092218 - nutrition, hydration and medications, due to bloating with aspiration,
092219 - that has been occurring past week. Did not occurred stopping at mile
092220 - 12, for EKG, meds and nutrition. PL 0 most of hike wearing new Brooks
092221 - Glycerin 23 shoes received on 260730. This morning, before hike took
092222 - 1 Naproxen 500 mg capsule; at mile 12 needed only 1 Naproxen. Heat in
092223 - low 90s was major factor limiting hike. Hiked over summit adding
092224 - 8-mile loop 1st time in many months. Attributed to new Brooks
092225 - Glyceryn 23 shoes and Powerstep inserts modified by Doctor Hewitson at
092226 - VA.
092227 -
092228 -
092230 - ..
092231 - Pain Location Pain Level % of Hike
092232 - ----------------------------------------- ---------- ---------
092233 - Stomach pain ischemic colitis bloating....... 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
092234 - 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
092235 - Hands cramping hurting - post hike........... 0 100 hands and thumbs cramping 2 hours after hike
092236 - Hands flinching post hike muscle spasms...... 0 100
092237 - Chest pain................................... 0 100 began about mile 8, taking Tramadol and Gabapenin mile 11helped
092238 - 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
092239 - Breathing ARDS............................... 0 100 difficulty breathing due to grade and length
092240 - Trapezius right side neck/shoulder........... 0 100 no recurrance today momentarily last half hike turning body and head left or right
092241 - Spine below neck lift left or right arm...... 0 100 did not occur today, but not a factor if head held steady
092242 - Neck turning head/chest left or right........ 0 100 episodes mile 18+ took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00
092243 - 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
092244 - Bicep tendon strain across elbow right arm... 0 100
092245 - 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
092246 - Hands sunburned itching rash................. 0 100 omitted sunblock today 260512, just forgot
092247 - Hip left..................................... 0 100 noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped
092248 - Back......................................... 0 100
092249 - Hip right.................................... 0 100
092250 - Shin splint pain both legs................... 0 100
092251 - Knee left skin lesions left side............. 0 100
092252 - 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
092253 - Knee left patalla...PRP 210705............... 0 100
092254 - Knee buckling left..PRP 191209.240108........ 0 100 began coming down Ygnacio Valley Road about mile 22 - intermittant
092255 - Knee left anterior cruciate ligament......... 0 100 same as knee buckling
092256 - Knee right cruciate ligament back of knee.... 0 100
092257 - 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
092258 - Achilees tendon right leg collaps/buckling... 0 100 did not recur today
092259 - Quadraceps both legs......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
092260 - Hamstring tendon left leg.PRP 210705......... 0 100
092261 - Hamstring left leg........................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
092262 - Hamstring right leg.......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
092263 - Calf left.................................... 0 100
092264 - Tailor's Bunion left foot.. PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
092265 - Tailor's Bunion right foot..PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
092266 - Plantar plate right foot..................... 0 100
092267 - Electric shocks middle 3 toes right foot..... 0 100 occurred intermittanly for minutes maybe twice
092268 - Metatarsalgia left foot...PRP 260403......... 0 100 PRP 260403 may be curing this injury
092269 - Metatarsalgia right foot..PRP 260403......... 0 100 PRP 260403 may be curing this injury
092270 - new Right foot fat pad below #3 & #4,,,,,,,,,,... 0 100 PRP 260403 may be curing this injury
092271 - 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
092272 - Planarfaciitis right foot..240213............. 0 100
092273 - Feet bottom soles hurt socks worn out........ 0 100
092274 - 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
092275 - Ankle left achilles heel on 220416........... 0 100 left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today
092276 - Ankle right pain on 200407 and 231203........ 0 100 xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal
092277 - Foot right possible fracture 200917......... 0 100 CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831
092278 - Hallux Valgus right foot..................... 0 100 seems stable despite hiking therapeutic miles
092279 - Cut big right foot........................... 0 100 Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316
092280 - 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.
092281 - Callus big toe right foot...PRP 210705....... 0 100 peeled large callus just before hike - stable no pain for multiple months
092282 - Blister below big toe right foot............. 0 100
092283 - Blister below big toe left foot.............. 0 100 new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725
092284 - 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
092285 - 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
092286 - Blister forefoot toes right foot............. 0 100
092287 - 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
092288 - 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
092289 - 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
092290 - 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,
092291 - Blister ring toe left foot.new 240602........ 0 100 seems healed today on 240626
092292 - 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
092293 - 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
092294 - 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
092295 - Blister top foot at toe line left foot....... 0 100
092296 - 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
092297 - 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
092298 - Blister top long and middle toes left foot... 0 100
092299 - 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
092300 - 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
092301 - Diabetes toes both feet inflamed, itch....... 0 100 Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms
092302 - 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
092303 - Peripheral neruopathy top left hand.......... 0 100 worse after 2 miles and calmed by mile 8
092304 - Peripheral neruopathy top right hand......... 0 100 worse after 2 miles and calmed by mile 8
092305 - Veering left................................. 0 100 veering left about mile 15 last 5 miles
092306 - Veering right ............................... 0 100
092307 - Fall......................................... 0 100
092308 - Restless legs................................ 0 100
092309 - AFL...5th ablation on 231214................. 0 100 Polar shows no AFL entire hike
092310 - 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
092311 - Wasted - very fatigued....................... 3 20 last 4 miles heat reached 92, had to end hike at 21
092312 - Hiker's rash vasculitis.see 210618........... 0 100 after hike quads show heat rash
092313 -
092314 -
092316 - ..
092317 - Shoes see case study on 200101 0701. ref SDS 21 SO4L Wore new Brooks
092318 - Glycerin 23 shoes size 11.5 width 4E, received 260730. Very good hike
092319 - again mostly PL 0. After 5 hikes, getting pressure top metatarsals
092320 - mostly right foot. Callus left foot #1 returning.
092322 - ..
092323 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin
092324 - with more padding to transfer load from forefeet to instep arch,
092325 - received from Doctor Hewitson at VA Podiatry on 260727 0900.
092326 - ref SDS C6 LJHN
092328 - ..
092329 - Callus Injuries - in recent weeks, have peeled large sections of
092330 - callus on left foot #1 edge and bottom of toe, completed on 260725,
092331 - per above. ref SDS 0 TI2H Yesterday, Doctor Tang and his assistant,
092332 - John, in VA Podiatry maintained wounds from these feet callus removals
092333 - yesterday on 260730 0900. ref SDS C7 5A4I Today, callus injury
092334 - recurred left foot #1 PL 3 last 4 miles, including wrapping beneath
092335 - the toe - still comparitively favorable result of better shoes and
092336 - insets supported by expert care. Good news is that while the injury
092337 - expresses pain in moments, the foot, shoe, insert and socks somehow
092338 - make adjustment that ends pain, i.e., it just goes away. If this is
092339 - repeated with hiking restored to therapeutic levels in days, weeks,
092340 - months ahead, then HDL 51 reported on 260727, should recover > 60,
092341 - along with EPCs and telomeres that maintain good health, including
092342 - recovery from dysfunctional ANS.
092344 - ..
092345 - Socks see case study on 200101 0701. ref SDS 21 0S6N Wore 2 pair
092346 - dual-ply Wrightsocks socks.
092347 -
092348 -
092350 - ..
092351 - Concord 21 mile route - took ot take Glucosamine Chondroitin for OA
092352 - protection, mainly left knee treated with PRP intra articular
092353 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,
092354 - and also left hip, which flares few times a month, but not for a month
092355 - or more. Took 1 Naproxen 500 mg for pain management - cut in half to
092356 - aid swallowing, there is no metatarsalgia pain in feet starting the
092357 - hike today, and both feet #1 and #5 calluses both PL 0 - were shaved
092358 - down by Doctor Tang in VAMC Podiatry on 260730 0900. ref SDS C7 5H6F
092359 - Took 4 Magnesium Complex 300 mg pills for energy and absorbing lactic
092360 - acid that enable hiking, and reduce inflammation, all enabling HDL to
092361 - increase, and together with EPCs regress plaque in blood vessels - see
092362 - research on 200101 0701, ref SDS 21 QP6L Took 2 CoQ10 capsules for
092363 - energy, and took 2 Turmeric Curcumin 2250 mg pills that resolve
092364 - inflammation, essential for HDL to rise. Swallowed pills separately
092365 - and whole combined with small amount avocado, mayonaise, peanut butter
092366 - and margarine - pills slip through LESV much better when swallowed
092367 - combined with chewed up food in mouth. About 20 minutes later, after
092368 - dressing for hike, took liquid Turmeric Curcumin and Ubiquinol CoQ10
092369 - per above. ref SDS 0 74DZ CoQ10 is an enzyme produced in the body
092370 - that supports an electron transport chain (ETC) giving human cells
092371 - energy - see case study on 200101 0701. ref SDS 21 136K No breakfast
092372 - reduces bloating feeling starting hike from ischemic colitis caused by
092373 - taking statins and other drugs, also symptomatic of diabetes, colitis
092374 - and atrial fibrillation (arrhythmia - variable heart rate) see case
092375 - study on 200101 0701. ref SDS 21 O33H Did not take backpack to carry
092376 - stuff - good to build conditioning for Half Dome - because extra
092377 - weight increases pressure that causes feet injuries. Now that feet
092378 - injuries are on the wane, may resume taking backpack after another few
092379 - hikes. Did not hike mile loop around the block to start hike, which
092380 - identifies bloating and feet wound issues that can be treated, before
092381 - problems arise miles from home. Hiked Cuneo .25 mile and turned left,
092382 - onto Treat - was slow and weak, but better than yesterday, indicating
092383 - conditioning may be rising after hiking more often than in past 3
092384 - months. Starting hike feet feel less swelled like pins and needles -
092385 - did not feel electrical shocks in balls of feet due to peripheral
092386 - neuropathy caused by statins, diabetes, and dysfunctional ANS. These
092387 - afflictions seem quiet the past weeks. Bottom of both feet minor
092388 - metatarsalgia pain - significant pain ( > 5 ) both feet #1 and #5 has
092389 - caused pausing hiking for injuries to heal past 60 days, see case
092390 - study on 200101 0701. ref SDS 21 BGZV Pausing hiking caused HDL 65 on
092391 - 260302, lowering to HDL 51 last week in lab on 260727. Breathed
092392 - through nose entire hike with no dyspnea, indicating conditioning has
092393 - sustained, despite minimal hiking last few months, albeit have not
092394 - been hiking Crystal Ranch Road, resulting in dyspnea on 260727, hiking
092395 - uphill to Cliff House and on Point Lobos for .25 mile returning to
092396 - hospital. Temperature started at 65, and reached 92. East wind 12
092397 - mph and mostly 8 mph, which was cooling at times; in fact heat was
092398 - debilitating last 5 miles. Continued East on Treat .5 miles. Turned
092399 - right hiking South on asphalt shoulder of Turtle Creek Road for 1.5
092400 - miles mostly flat grade, some places 3% uphill, and very light
092401 - traffic. Energy increased to normal pace 15 minute miles. Hiked
092402 - across Newhall Community park and back today. Continued on Turtle
092403 - Creek Road uphill 4% grade. At end of Turtle Creek Road turned left
092404 - onto Ayers hiking East .75 miles on asphalt road shoulder. At mile 3,
092405 - turned right onto Clayton Road hiking South .5 miles on asphalt
092406 - pavement in parking lots of shopping complex. Stopped at Lucky store
092407 - to buy banana with potassium that complements meds for energy, and
092408 - aids swallowing meds to slip through tightening LESV, pending EGD
092409 - dilation on 260821. Crossed Alberto Way at traffic light and
092410 - continued on concrete sidewalk .5 miles. Energy decline again, but
092411 - not totally crashed like yesterday - no - need to stop at mile 4 time
092412 - 0720 in Mountain Mike's Pizza restaurant to take meds for energy to
092413 - hike; however, they are closed at that hour, so plodded along. Turned
092414 - right going West on Ygnacio Valley Road using concrete sidewalk .5
092415 - miles. Continued past Park Highlands Road at Stop Light and heading
092416 - West .25 miles on very narrow asphalt shoulder next to high risk heavy
092417 - morning commute traffic. This morning it worked out randomly that 20
092418 - or so cars sped by while walking on 12" curb - don't really want to do
092419 - that again. Crossed to South side Ygnacio Valley Road hiking on wider
092420 - shoulder past stop light at Michigan Boulevard. Hiked another .25
092421 - miles to Chevron gas station and store. At mile 6, turned left onto
092422 - Pine Hollow, - hiked East 1.0 mile. Beyond Camino Solano turned
092423 - around and hiked back to Ygnacio Valley Road. Turned left onto Campus
092424 - Drive. Continued 1 mile West uphill 3% grade against wind 08 mph.
092425 - The road bends North. Turned left heading West on Ygnacio Valley road
092426 - .50 mile flat grade. At Crystal Ranch Road mile 9, turned around
092427 - headed back and turned right hiking uphill .3 mile on Campus Drive.
092428 - Reached Visitor Parking California State University East Bay Concord
092429 - Campus - mile 10. Hiked 4 loops around main buildings - used exercise
092430 - equipment at back of buildings to do 20 partial pullups and pushups
092431 - each pass. Cross paths with Lisa walking dogs in Faculty Parking on
092432 - 2nd loop. On 4th loop stopped at cafeteria mile 12, time 0955, temp
092433 - 73 and wind 08 mph; EKG looks mostly uniform with minor artifact.
092434 - Kardia reported HR 108 Tachycardia, - see below. ref SDS 0 9MG5
092435 - Bloating PL 2, both feet metatarsalgia PL 2. Left foot #1 PL 2 and #5
092436 - PL 2. Right foot #5 PL 0; top of #3, #4, #5 PL 0 feels better today,
092437 - than past 3 weeks. Rather than Reduce drugs to avoid vomiting and
092438 - aspiration that occurred the day before, tried full complement. Took
092439 - 1 Naproxen 500 mg total today 2 for pain. Took 4 Magnesium complex
092440 - 300 mg pills - total today 8 - for energy, absorbing lactic acid, per
092441 - research on 200101 0701. ref SDS 21 QP6L Took 2 Turmeric Curcumin
092442 - 2250 mg - total today 4 - to reduce inflammation. By this point was
092443 - not feeling well, esophagus was filling up, so took 0 CoQ10 pills -
092444 - total today 2 - to increase energy. Sips softdrink purchased from
092445 - cafeteria vending machine for hydration and swallowing nutrition -
092446 - banana purchased at Lucky store enables swallowing medication pills
092447 - combined with bites of banana to slip through LESV now contracted due
092448 - to achalasia, pending dilation procedure scheduled on 260821. Took
092449 - Ubiquinol CoQ10 0.6 ml liquid for HDL and energy to continue hike.
092450 - Took Nuun electrolyte pill; all per above. ref SDS 0 NKBW Was
092451 - beginning to aspirate from build up above LESV. Nuun pill fizzes, so
092452 - left immediately to avoid vomitting on table in cafeterai. At mile
092453 - 13, left college heading North downhill on Campus Drive. Turned left
092454 - onto Ygnacio Valley Road. Hiked West on flat grade .5 miles.
092455 - Continued past Crystal Ranch Road heading West on Ygnacio Valley road
092456 - .5 mile uphill 3% grade against wind 12 mph - temp 92. Crossed Cowell
092457 - at stop light. At break in traffic, crossed to North side Ygnacio
092458 - Valley Road to avoid severe camber. Feeling okay, so hiked .5 miles
092459 - uphill 3% grade to summit at end of concrete barriar mile 15. With
092460 - break in afternoon commute traffic crossed back to South side Ygnacio
092461 - Valley Road. Continued 2 miles downhill 3% grade. Crossed back to
092462 - North side Ygnacio Valley Road. Crossed Oak Grove at traffic light.
092463 - Hiked 1-mile loop around block at Safeway shopping complex. Did not
092464 - stop at Mod Pizza mile 17, time ____, for EKG, meds, etc, - turned
092465 - right onto path parallel to Via Monte hiking North .25 miles, turned
092466 - right onto Shadelands hiking .25 miles, and turned left onto Oak
092467 - Grove. Hiked 1 mile North on asphalt shoulder. Crossed Treat at
092468 - street light. Hiked 1 mile East on flat grade concrete sidewalk. At
092469 - San Miguel continued .75 miles on Treat uphill 5% grade temp 92.
092470 - Handled this well. At summit, mile 20, hiked another mile to Cuneo,
092471 - then home. Ended hike mile 21 time 1314 temp 92, wind 12. Bloated PL
092472 - 3, energy deficit PL 2, feet metatarsalgia PL 3, burning sensation PL
092473 - 2, left foot #1 PL 2, #5 PL 3, right foot #5 PL 4, #1 PL 0, left knee
092474 - PL 0, wobbly PL 0. EKG looks mostly uniform, with minor artifact,
092475 - Kardia reported HR 117 Tachycardia - see below. ref SDS 0 KYSA
092476 -
092477 -
092478 -
092479 -
092480 -
092481 -
092482 -
092483 -
092484 -
092485 -
092486 -
092488 - ..
092489 - Kardia recorded HR 049 at 0516, Possible Atrial Fibrillation, looks
092490 - mostly variable heart beat lengths with p-waves and no artifact,
092491 - likely no AFL after hiking 21 miles temp 95 yesterday, per above,
092492 - ref SDS 0 AZE4, and diagnosed ischemic colitis on 200612 0700,
092493 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th
092494 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.
092495 - ref SDS 73 NA4H Medical history case study on 200101 0701.
092496 - ref SDS 21 TSYT
092497 -
092498 -
092499 - pix: 950 450
092500 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260804-ecg-051620_mile_00_049_paf_vrbl.pdf
092501 -
092502 -
092503 -
092504 -
092506 - ..
092507 - Polar HR GPS study *** low accuracy GPS used *** in Concord.
092508 - California, hike 21 miles with max temperature 95, - Medical history
092509 - case study on 200101 0701. ref SDS 21 118K
092510 - ..
092511 - x
092512 - Reported Samsung GPS mileage...
092513 - x x A
092514 - x x x
092515 - 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
092516 - 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
092517 - 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
092518 - ** 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
092519 - 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
092520 - 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
092521 - 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
092522 - 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
092523 -
092524 -
092525 -
092526 - https://flow.polar.com/training/analysis/8392553048
092527 -
092529 - ..
092531 - 
092532 -
092533 -
092534 -
092535 -
092537 - ..
092538 - EKG at mile 12 time 0955, HR 108 temp 73, wind 08; Kardia reported
092539 - Tachycardia... heart rate looks mostly uniform with minor artifact -
092540 - medical history case study on 200101 0701. ref SDS 21 TSYT
092541 -
092542 -
092543 - pix: 950 450
092544 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260804-ecg-095507_mile_12_108_tcy_unfm.pdf
092545 -
092546 -
092547 -
092549 - ..
092550 - End hike EKG at mile 21, time 1314 HR 117 temp 92, wind 12 - Kardia
092551 - reported Tachycardia... looks like sinus mostly uniform with minor
092552 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT
092553 -
092554 -
092555 - pix: 950 450
092556 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260804-ecg-131443_mile_21_117_tcy_unfm.pdf
092557 -
092558 -
092559 -
092560 -
092562 - ..
092563 - Post hike HR profile beginning 2041, aligns with indoor activity after
092564 - hiking 21 miles with temperature 92, and showing no continuous
092565 - extended period steady elevated HR > 130, indicates no AFL, and no
092566 - possible atrial fibrillation, and after stopping Apixaban on 240711,
092567 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
092568 - patient history on 200101 0701. ref SDS 21 TSYT
092569 -
092571 - ..
092572 - 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
092573 - 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
092574 - 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
092575 - 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
092576 - 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
092577 - 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
092578 -
092579 -
092580 - https://flow.polar.com/training/analysis/8392942385
092582 - ..
092583 - HRV seems 10% 0 and 30% good and 60% poor overnight Polar HR report...
092584 -
092586 - 
092587 -
092588 -
092590 - ..
092591 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds
092592 - Lunch - banana with hiking meds
092593 - Dinner - steak asparagus onion cottage cheese tomato - pancake milk
092595 - ..
092596 - Vomiting: 70% - lunch, dinner bloating PL 6
092597 -
092598 -
092599 -
092600 -
092601 -
092602 -
092603 -
092604 -
092605 -
092606 -
092607 -
092608 -
092609 -
092610 -
092611 -
092612 -
092613 -
092614 -
092615 -
092616 -
092617 -
092618 -
092619 -
092620 -
092621 -
092622 -
092623 -
092624 -
092625 -
092627 - ..
092628 - H I K I N G
092629 - M E D I C A T I O N Miles Time V I T A L S
092630 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
092631 - ====================================================================================
092632 - Wednesday
092633 - 132. 260805 0605............................................. summary vitals, ref SDS 21 9HIW
092634 - 0610....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
092635 - 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
092636 - 0620....BP HR..................................................... 159 74 71 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
092637 - 0625....BP HR..................................................... 171 78 73
092638 - 0630....BP HR..................................................... 165 75 69
092639 - 0635....weight.................................... 186
092640 - 0640....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
092641 - 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
092642 - 0000...
092643 - ..
092644 - 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
092645 - 1830............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
092646 - 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
092647 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
092648 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
092649 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
092650 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
092651 - 0000... 10 60 Cyclobenzaprine sleep aid
092652 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
092653 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
092655 - ..
092656 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
092657 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
092659 - ..
092660 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
092661 - pain no longer in toes down to heels. Symptoms have increased pins
092662 - and needles tingling in evening, when feet are elevated in reclining
092663 - chair. Restless legs has not occurred for awhile, maybe because
092664 - hiking declined considerably - may return since hiking increased OA
092665 - 260727.
092667 - ..
092668 - Pain medication limitations reported in case study on 200101 0701.
092669 - ref SDS 21 KS5O
092671 - ..
092672 - Swallowing - difficult - must eat very slowly, lots of liquid to
092673 - avoid vomiting, gagging, aspiration.
092675 - ..
092676 - Reflux slept in recliner chair to control aspiration, vomited most of
092677 - everything.
092678 -
092679 -
092680 -
092682 - ..
092683 - Kardia recorded HR 079 at 0960, Possible Atrial Fibrillation, looks
092684 - mostly variable heart beat lengths with p-waves and no artifact,
092685 - likely no AFL after hiking 21 miles temp 92 yesterday, per above,
092686 - ref SDS 0 74DZ, and diagnosed ischemic colitis on 200612 0700,
092687 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th
092688 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.
092689 - ref SDS 73 NA4H Medical history case study on 200101 0701.
092690 - ref SDS 21 TSYT
092691 -
092692 -
092693 - pix: 950 450
092694 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260805-ecg-095001_mile_00_070_paf_vrbl.pdf
092695 -
092696 -
092697 -
092698 -
092700 - ..
092701 - Post hike HR profile beginning 2010, aligns with indoor activity after
092702 - hiking 00 miles with temperature __, and showing no continuous
092703 - extended period steady elevated HR > 130, indicates no AFL, and no
092704 - possible atrial fibrillation, and after stopping Apixaban on 240711,
092705 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
092706 - patient history on 200101 0701. ref SDS 21 TSYT
092707 -
092709 - ..
092710 - 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
092711 - 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
092712 - 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
092713 - 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
092714 - 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
092715 - 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
092716 -
092717 -
092718 - https://flow.polar.com/training/analysis/8393665950
092720 - ..
092721 - HRV seems 20% 0 and 30% good and 50% poor overnight Polar HR report...
092722 -
092724 - 
092725 -
092726 -
092728 - ..
092729 - Breakfast -
092730 - Lunch -
092731 - Dinner - steak asparagus onion cottage cheese tomato - pancake milk
092733 - ..
092734 - Vomiting: 70% - dinner bloating PL 6
092735 -
092736 -
092737 -
092738 -
092739 -
092740 -
092741 -
092742 -
092743 -
092744 -
092745 -
092746 -
092747 -
092748 -
092749 -
092750 -
092751 -
092752 -
092753 -
092754 -
092755 -
092756 -
092757 -
092758 -
092759 -
092760 -
092761 -
092762 -
092763 -
092765 - ..
092766 - H I K I N G
092767 - M E D I C A T I O N Miles Time V I T A L S
092768 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
092769 - ====================================================================================
092770 - Thursday
092771 - 132. 260806 0705............................................. summary vitals, ref SDS 21 9HIW
092772 - 0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
092773 - 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
092774 - 0720....BP HR..................................................... 176 77 59 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
092775 - 0725....BP HR..................................................... 162 85 48
092776 - 0730....BP HR..................................................... 158 66 67
092777 - 0735....weight.................................... 186
092778 - 0910....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
092779 - 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
092780 - 0910... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
092781 - 0910....Avocado to increase HDL - 1/2 small
092782 - 0910....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)
092783 - 0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N
092784 - 0955....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0
092785 - 0955... 05 CoQ10 Ubiquinol Liquid - increases energy
092786 - 0955....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses
092787 - 0000...
092788 - ..
092789 - 1004....miles........... 18.0 60.0 300 984 minutes temp 92 wind 15 rain 0% light
092790 - 0000....................................................
092791 - 1340....mile 12 stopped EKG ... banana for potasium and swallow medication pills
092792 - 1340....Naproxen 500 mg took 1 pill
092793 - 1340... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
092794 - 1340... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
092795 - 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
092796 - paused 0000... Nuun Electrolytes Pill
092797 - 1340... 20 4060 CoQ10 Ubiquinol Liquid
092798 - 0000....................................................
092799 - 1605... Hike ends mile 18... ref SDS 0 6R8E
092800 - 0000...
092801 - 1620....weight.................................... 181 lost 5#
092802 - 1628....BP HR..................................................... 130 79 109
092803 - 1640....BP HR..................................................... 128 72 87
092804 - 1646....BP HR..................................................... 125 79 84
092805 - 0000...
092806 - ..
092807 - 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
092808 - 1830............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
092809 - 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
092810 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
092811 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
092812 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
092813 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
092814 - 0000... 10 60 Cyclobenzaprine sleep aid
092815 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
092816 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
092817 -
092819 - ..
092820 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
092821 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
092823 - ..
092824 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
092825 - pain no longer in toes down to heels. Symptoms have increased pins
092826 - and needles tingling in evening, when feet are elevated in reclining
092827 - chair. Restless legs has not occurred for awhile, maybe because
092828 - hiking declined considerably - may return since hiking increased OA
092829 - 260727.
092831 - ..
092832 - Pain medication limitations reported in case study on 200101 0701.
092833 - ref SDS 21 KS5O
092835 - ..
092836 - Swallowing - difficult - must eat very slowly, small bites, chew
092837 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,
092838 - aspiration.
092840 - ..
092841 - Reflux slept in recliner chair to control aspiration, vomited most of
092842 - everything.
092843 -
092844 -
092846 - ..
092847 - Summary... before starting same difficulty as yesterday swallowing
092848 - nutrition, hydration and medications, due to bloating with aspiration,
092849 - that has been occurring past week. Occurred less stopping at mile 12,
092850 - for EKG, meds and nutrition - was able keep down all meds. PL 0 most
092851 - of hike wearing new Brooks Glycerin 23 shoes received on 260730. This
092852 - morning, before hike took 1 Naproxen 500 mg capsule; at mile 12 needed
092853 - only 1 Naproxen. Heat in low 90s was major factor limiting hike. Did
092854 - blood test to evaluate hiking 134 miles in last 8 days, with much less
092855 - feet pain, which should mean less inflammation, enabling HDL 51 to
092856 - hopefully rise toward 60, as a result of new Brooks Glyceryn 23 shoes
092857 - and Powerstep inserts modified by Doctor Hewitson at VA.
092858 -
092859 -
092861 - ..
092862 - Pain Location Pain Level % of Hike
092863 - ----------------------------------------- ---------- ---------
092864 - Stomach pain ischemic colitis bloating....... 4 40 bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating
092865 - 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
092866 - Hands cramping hurting - post hike........... 0 100 hands and thumbs cramping 2 hours after hike
092867 - Hands flinching post hike muscle spasms...... 0 100
092868 - Chest pain................................... 0 100 began about mile 8, taking Tramadol and Gabapenin mile 11helped
092869 - 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
092870 - Breathing ARDS............................... 0 100 difficulty breathing due to grade and length
092871 - Trapezius right side neck/shoulder........... 0 100 no recurrance today momentarily last half hike turning body and head left or right
092872 - Spine below neck lift left or right arm...... 0 100 did not occur today, but not a factor if head held steady
092873 - Neck turning head/chest left or right........ 0 100 episodes mile 18+ took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00
092874 - 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
092875 - Bicep tendon strain across elbow right arm... 0 100
092876 - 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
092877 - Hands sunburned itching rash................. 0 100 omitted sunblock today 260512, just forgot
092878 - Hip left..................................... 0 100 noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped
092879 - Back......................................... 0 100
092880 - Hip right.................................... 0 100
092881 - Shin splint pain both legs................... 0 100
092882 - Knee left skin lesions left side............. 0 100
092883 - 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
092884 - Knee left patalla...PRP 210705............... 0 100
092885 - Knee buckling left..PRP 191209.240108........ 0 100 began coming down Ygnacio Valley Road about mile 22 - intermittant
092886 - Knee left anterior cruciate ligament......... 0 100 same as knee buckling
092887 - Knee right cruciate ligament back of knee.... 0 100
092888 - 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
092889 - Achilees tendon right leg collaps/buckling... 0 100 did not recur today
092890 - Quadraceps both legs......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
092891 - Hamstring tendon left leg.PRP 210705......... 0 100
092892 - Hamstring left leg........................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
092893 - Hamstring right leg.......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
092894 - Calf left.................................... 0 100
092895 - Tailor's Bunion left foot.. PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
092896 - Tailor's Bunion right foot..PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
092897 - Plantar plate right foot..................... 0 100
092898 - Electric shocks middle 3 toes right foot..... 0 100 occurred intermittanly for minutes maybe twice
092899 - Metatarsalgia left foot...PRP 260403......... 0 100 PRP 260403 may be curing this injury
092900 - Metatarsalgia right foot..PRP 260403......... 0 100 PRP 260403 may be curing this injury
092901 - new Right foot fat pad below #3 & #4,,,,,,,,,,... 0 100 PRP 260403 may be curing this injury
092902 - 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
092903 - Planarfaciitis right foot..240213............. 0 100
092904 - Feet bottom soles hurt socks worn out........ 0 100
092905 - 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
092906 - Ankle left achilles heel on 220416........... 0 100 left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today
092907 - Ankle right pain on 200407 and 231203........ 0 100 xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal
092908 - Foot right possible fracture 200917......... 0 100 CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831
092909 - Hallux Valgus right foot..................... 0 100 seems stable despite hiking therapeutic miles
092910 - Cut big right foot........................... 0 100 Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316
092911 - 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.
092912 - Callus big toe right foot...PRP 210705....... 0 100 peeled large callus just before hike - stable no pain for multiple months
092913 - Blister below big toe right foot............. 0 100
092914 - Blister below big toe left foot.............. 0 100 new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725
092915 - 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
092916 - 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
092917 - Blister forefoot toes right foot............. 0 100
092918 - 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
092919 - 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
092920 - 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
092921 - 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,
092922 - Blister ring toe left foot.new 240602........ 0 100 seems healed today on 240626
092923 - 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
092924 - 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
092925 - 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
092926 - Blister top foot at toe line left foot....... 0 100
092927 - 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
092928 - 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
092929 - Blister top long and middle toes left foot... 0 100
092930 - 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
092931 - 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
092932 - Diabetes toes both feet inflamed, itch....... 0 100 Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms
092933 - 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
092934 - Peripheral neruopathy top left hand.......... 0 100 worse after 2 miles and calmed by mile 8
092935 - Peripheral neruopathy top right hand......... 0 100 worse after 2 miles and calmed by mile 8
092936 - Veering left................................. 0 100 veering left about mile 15 last 5 miles
092937 - Veering right ............................... 0 100
092938 - Fall......................................... 0 100
092939 - Restless legs................................ 0 100
092940 - AFL...5th ablation on 231214................. 0 100 Polar shows no AFL entire hike
092941 - 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
092942 - Wasted - very fatigued....................... 2 20 last 4 miles heat reached 92, had to end hike at 21
092943 - Hiker's rash vasculitis.see 210618........... 0 100 after hike quads show heat rash
092944 -
092945 -
092947 - ..
092948 - Shoes see case study on 200101 0701. ref SDS 21 SO4L Wore new Brooks
092949 - Glycerin 23 shoes size 11.5 width 4E, received 260730. Very good hike
092950 - again mostly PL 0. After 5 hikes, getting pressure top metatarsals
092951 - mostly right foot. Callus left foot #1 returning.
092953 - ..
092954 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin
092955 - with more padding to transfer load from forefeet to instep arch,
092956 - received from Doctor Hewitson at VA Podiatry on 260727 0900.
092957 - ref SDS C6 LJHN
092959 - ..
092960 - Callus Injuries - in recent weeks, have peeled large sections of
092961 - callus on left foot #1 edge and bottom of toe, completed on 260725,
092962 - per above. ref SDS 0 TI2H Yesterday, Doctor Tang and his assistant,
092963 - John, in VA Podiatry maintained wounds from these feet callus removals
092964 - yesterday on 260730 0900. ref SDS C7 5A4I Callus injuries recurring
092965 - left foot #1 including wrapping beneath the toe, and callus left foot
092966 - #5, and same on right foot, but possibly more slowly comparitively
092967 - favorable result of better shoes and insets supported by expert care.
092968 - Good news is that while the injury expresses pain in moments, the
092969 - foot, shoe, insert and socks somehow make adjustment that ends pain,
092970 - i.e., it just goes away. If this is repeated with hiking restored to
092971 - therapeutic levels in days, weeks, months ahead, then HDL 51 reported
092972 - on 260727, should recover > 60, along with EPCs and telomeres that
092973 - maintain good health, including recovery from dysfunctional ANS.
092975 - ..
092976 - Socks see case study on 200101 0701. ref SDS 21 0S6N Wore 2 pair
092977 - dual-ply Wrightsocks socks.
092978 -
092979 -
092981 - ..
092982 - Concord 18 mile route - took no Glucosamine Chondroitin for OA
092983 - protection, mainly left knee treated with PRP intra articular
092984 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,
092985 - and also left hip, which flares few times a month, but not for a month
092986 - or more. Took 1 Naproxen 500 mg for pain management - cut in half to
092987 - aid swallowing, there is no metatarsalgia pain in feet starting hike
092988 - today, and both feet #1 and #5 calluses both PL 0 - were shaved down
092989 - by Doctor Tang in VAMC Podiatry on 260730 0900, ref SDS C7 5H6F; left
092990 - foot #1 #5 calluses growing again, possibly more slowly. Took 4
092991 - Magnesium Complex 300 mg pills for energy and absorbing lactic acid
092992 - that enable hiking, and reduce inflammation, all enabling HDL to
092993 - increase, and together with rising EPCs regress plaque in blood
092994 - vessels - see research on 200101 0701, ref SDS 21 QP6L Took 2 CoQ10
092995 - capsules for energy, and took 2 Turmeric Curcumin 2250 mg pills that
092996 - resolve inflammation, essential for HDL to rise. Swallowed pills
092997 - separately (1 at a time) and whole combined with small amount avocado,
092998 - mayonaise, peanut butter and margarine - pills slip through LESV
092999 - easier when swallowed combined with chewed up food in mouth. About 20
093000 - minutes later, after dressing for hike, took liquid Turmeric Curcumin
093001 - and Ubiquinol CoQ10 per above. ref SDS 0 7PO6 CoQ10 is an enzyme
093002 - produced in the body that supports an electron transport chain (ETC)
093003 - giving human cells energy - see case study on 200101 0701. ref SDS 21
093004 - 136K No breakfast reduces bloating feeling starting hike from
093005 - ischemic colitis caused by taking statins and other drugs, also
093006 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -
093007 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H
093008 - Did not take backpack to carry stuff - good to build conditioning for
093009 - Half Dome - because extra weight increases pressure that causes feet
093010 - injuries, e.g., calluses. Now that feet injuries are on the wane, may
093011 - resume taking backpack after another few hikes. Did not feel well
093012 - starting hike - did mile loop around the block to start hike, which
093013 - identifies bloating and feet wound issues that can be treated, before
093014 - problems arise miles from home. Hiked Cuneo .25 mile and turned left,
093015 - onto Treat - was not slow and weak this morning - better than
093016 - yesterday, indicating conditioning may be rising after hiking more
093017 - often than in past 3 months. May as well reflect break in
093018 - dysfunctional ANS causing variable ANS to slip into sinus rhythm.
093019 - Starting hike feet feel less swelled like pins and needles - did not
093020 - feel electrical shocks in balls of feet due to peripheral neuropathy
093021 - caused by statins, diabetes, and dysfunctional ANS. These afflictions
093022 - seem quiet the past weeks. Bottom of both feet minor metatarsalgia
093023 - pain - significant pain ( > 5 ) both feet #1 and #5 has caused pausing
093024 - hiking for injuries to heal past 90 days, see case study on 200101
093025 - 0701. ref SDS 21 BGZV Pausing hiking caused HDL 65 on 260302,
093026 - lowering to HDL 51 last lab on 260727. Breathed through nose entire
093027 - hike with no dyspnea, indicating conditioning has sustained, despite
093028 - minimal hiking last few months, albeit have not been hiking Crystal
093029 - Ranch Road, resulting in dyspnea on 260727, hiking uphill to Cliff
093030 - House and on Point Lobos for .25 mile returning to hospital. Started
093031 - hike late in morning OA 1004, with temperature at 75, and reached 92.
093032 - East wind 15 mph and mostly 8 mph, which was cooling at times; in fact
093033 - heat was debilitating last 3 miles. Continued East on Treat .5 miles.
093034 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for
093035 - 1.5 miles mostly flat grade, some places 3% uphill, and very light
093036 - traffic. Maintained normal pace 15 minute miles. Hiked across
093037 - Newhall Community park and back today. Continued on Turtle Creek Road
093038 - uphill 4% grade. At end of Turtle Creek Road turned left onto Ayers
093039 - hiking East .75 miles on asphalt road shoulder. At mile 5, turned
093040 - right onto Clayton Road hiking South .5 miles on asphalt pavement in
093041 - parking lots of shopping complex. Stopped at Lucky store to buy
093042 - banana with potassium that complements meds for energy, and aids
093043 - swallowing meds to slip through tightening LESV, pending EGD dilation
093044 - on 260821. Crossed Alberto Way at traffic light and continued on
093045 - concrete sidewalk .5 miles. Energy maintained - no need to stop at
093046 - Mountain Mike's Pizza restaurant to take meds for energy. Turned
093047 - right going West on Ygnacio Valley Road using concrete sidewalk .5
093048 - miles. Continued past Park Highlands Road at traffic stoplight and
093049 - heading West .25 miles on very narrow asphalt shoulder next to high
093050 - risk heavy morning commute traffic. Crossed to South side Ygnacio
093051 - Valley Road hiking on wider shoulder past stoplight at Michigan
093052 - Boulevard. Hiked another .25 miles to Chevron gas station and store.
093053 - At mile 7, turned left onto Pine Hollow, - hiked East 2.0 miles. Near
093054 - Panadero Way at steel road barriar, mile 9, turned around and hiked
093055 - back 2 miles. Turned right onto Ygnacio Valley Road, and hiked back
093056 - .5 mile. Turned right onto Michigan Boulevard. Continued .25 mile.
093057 - Turned around at Oregon Drive. Returned to Ygnacio Valley Road and
093058 - left again onto Ygnacio Valley Road another .5 mile. Stopped at
093059 - Chevron gas station store mile 12, time 1340, temp 86 and wind 16 mph;
093060 - EKG looks mostly uniform with minor artifact. Kardia reported HR 108
093061 - Tachycardia, - see below. ref SDS 0 IFDO Bloating PL 3, energy
093062 - deficit PL 3, both feet metatarsalgia PL 2. Left foot #1 PL 2 and #5
093063 - PL 2. Right foot #5 PL 0; top of #3, #4, #5 PL 0 feels better today,
093064 - than past 3 weeks. Took 1 Naproxen 500 mg total today 2 for pain.
093065 - Took 4 Magnesium complex 300 mg pills - total today 8 - for energy,
093066 - absorbing lactic acid, per research on 200101 0701. ref SDS 21 QP6L
093067 - Took 2 Turmeric Curcumin 2250 mg - total today 4 - to reduce
093068 - inflammation. By this point was not feeling well, esophagus was
093069 - filling up, still took 2 CoQ10 pills - total today 4 - to increase
093070 - energy. Sips softdrink purchased from cafeteria vending machine for
093071 - hydration and swallowing nutrition - banana purchased at Lucky store
093072 - enables swallowing medication pills combined with bites of banana to
093073 - slip through LESV now contracted due to achalasia, pending dilation
093074 - procedure scheduled on 260821. Took Ubiquinol CoQ10 0.6 ml liquid for
093075 - HDL and energy to continue hike. Did not take Nuun electrolyte pill,
093076 - because seems to drive vomiting; all per above. ref SDS 0 TF6M Was
093077 - beginning to aspirate from build up above LESV. Continued hike
093078 - heading East back on original route Ygnacio Valley Road. Turned left
093079 - North onto Clayton. At mile 15, stopped at Quest labs for blood draw,
093080 - testing improvements from lab on 260727. Continued .25 mile and
093081 - turned left heading West on Treat Boulevard. Hiked 2 miles, crossed
093082 - Cowell, turned onto Cunio and hiked .25 mile. Turned around at Kaski
093083 - then home. Ended hike mile 18 time 1605 temp 92, wind 16. Bloated PL
093084 - 3, energy deficit PL 4, feet metatarsalgia PL 3, burning sensation PL
093085 - 2, left foot #1 PL 2, #5 PL 2, right foot #5 PL 1, #1 PL 0, left knee
093086 - PL 0, wobbly PL 0. EKG looks mostly uniform, with minor artifact,
093087 - Kardia reported HR 119 Tachycardia - see below. ref SDS 0 6R8E
093088 -
093089 -
093090 -
093091 -
093092 -
093093 -
093094 -
093095 -
093096 -
093097 -
093098 -
093100 - ..
093101 - Kardia recorded HR 052 at 0805, Possible Atrial Fibrillation, looks
093102 - mostly variable heart beat lengths with p-waves and no artifact,
093103 - likely no AFL after hiking 00 miles temp __ yesterday, per above,
093104 - ref SDS 0 YBJS, and diagnosed ischemic colitis on 200612 0700,
093105 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th
093106 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.
093107 - ref SDS 73 NA4H Medical history case study on 200101 0701.
093108 - ref SDS 21 TSYT
093109 -
093110 -
093111 - pix: 950 450
093112 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260806-ecg-080524_mile_00_052_paf_vrbl.pdf
093113 -
093114 -
093115 -
093116 -
093118 - ..
093119 - Polar HR GPS study *** low accuracy GPS used *** in Concord.
093120 - California, hike 18 miles with max temperature 92, - Medical history
093121 - case study on 200101 0701. ref SDS 21 118K
093122 - ..
093123 - x
093124 - Reported Samsung GPS mileage...
093125 - x x A
093126 - x x x
093127 - 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
093128 - 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
093129 - 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
093130 - ** 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
093131 - 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
093132 - 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
093133 - 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
093134 - 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
093135 -
093136 -
093137 -
093138 - https://flow.polar.com/training/analysis/8393958779
093139 -
093141 - ..
093143 - 
093144 -
093145 -
093146 -
093147 -
093149 - ..
093150 - EKG at mile 12 time 1340, HR 108 temp 86, wind 16; Kardia reported
093151 - Tachycardia... heart rate looks mostly uniform with minor artifact -
093152 - medical history case study on 200101 0701. ref SDS 21 TSYT
093153 -
093154 -
093155 - pix: 950 450
093156 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260806-ecg-134038_mile_12_108_tcy_unfm.pdf
093157 -
093158 -
093159 -
093161 - ..
093162 - End hike EKG at mile 18, time 1605 HR 119 temp 92, wind 16 - Kardia
093163 - reported Tachycardia... looks like sinus mostly uniform with some
093164 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT
093165 -
093166 -
093167 - pix: 950 450
093168 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260806-ecg-160520_mile_18_119_tcy_unfm.pdf
093169 -
093170 -
093171 -
093172 -
093174 - ..
093175 - Post hike HR profile beginning 2306, aligns with indoor activity after
093176 - hiking 18 miles with temperature 91, and showing no continuous
093177 - extended period steady elevated HR > 130, indicates no AFL, and no
093178 - possible atrial fibrillation, and after stopping Apixaban on 240711,
093179 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
093180 - patient history on 200101 0701. ref SDS 21 TSYT
093181 -
093183 - ..
093184 - 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
093185 - 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
093186 - 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
093187 - 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
093188 - 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
093189 - 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
093190 -
093191 -
093192 - https://flow.polar.com/training/analysis/8394345349
093194 - ..
093195 - HRV seems 10% 0 and 20% good and 70% poor overnight Polar HR report...
093196 -
093198 - 
093199 -
093200 -
093202 - ..
093203 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds
093204 - Lunch - banana with hiking meds
093205 - Dinner - hamburger onion cottage cheese tomato
093207 - ..
093208 - Vomiting: 10% - dinner bloating PL 4
093209 -
093210 -
093211 -
093212 -
093213 -
093214 -
093215 -
093216 -
093217 -
093218 -
093219 -
093220 -
093221 -
093222 -
093223 -
093224 -
093225 -
093226 -
093227 -
093228 -
093229 -
093230 -
093231 -
093232 -
093233 -
093234 -
093235 -
093236 -
093238 - ..
093239 - H I K I N G
093240 - M E D I C A T I O N Miles Time V I T A L S
093241 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
093242 - ====================================================================================
093243 - Friday
093244 - 132. 260807 0707............................................. summary vitals, ref SDS 21 9HIW
093245 - 0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
093246 - 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
093247 - 0720....BP HR..................................................... 158 87 69 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
093248 - 0725....BP HR..................................................... 167 76 56
093249 - 0730....BP HR..................................................... 164 79 60
093250 - 0735....weight.................................... 185
093251 - 0735....Magnesium 300 mg 1 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
093252 - 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
093253 - 0000...
093254 - ..
093255 - 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
093256 - 0000............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
093257 - 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
093258 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
093259 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
093260 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
093261 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
093262 - 0000... 10 60 Cyclobenzaprine sleep aid
093263 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
093264 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
093265 -
093267 - ..
093268 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
093269 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
093271 - ..
093272 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
093273 - pain no longer in toes down to heels. Symptoms have increased pins
093274 - and needles tingling in evening, when feet are elevated in reclining
093275 - chair. Restless legs has not occurred for awhile, maybe because
093276 - hiking declined considerably - may return since hiking increased OA
093277 - 260727.
093279 - ..
093280 - Pain medication limitations reported in case study on 200101 0701.
093281 - ref SDS 21 KS5O
093283 - ..
093284 - Swallowing - difficult - must eat very slowly, small bites, chew
093285 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,
093286 - aspiration.
093288 - ..
093289 - Reflux slept in recliner chair 50% to control aspiration, vomited
093290 - less.
093291 -
093292 -
093293 -
093294 -
093296 - ..
093297 - Kardia recorded HR 063 at 0805, Possible Atrial Fibrillation, looks
093298 - mostly variable heart beat lengths with p-waves and no artifact,
093299 - likely no AFL after hiking 18 miles temp 91 yesterday, per above,
093300 - ref SDS 0 7PO6, and diagnosed ischemic colitis on 200612 0700,
093301 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th
093302 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.
093303 - ref SDS 73 NA4H Medical history case study on 200101 0701.
093304 - ref SDS 21 TSYT
093305 -
093306 -
093307 - pix: 950 450
093308 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260807-ecg-081431_mile_00_063_paf_vrbl.pdf
093309 -
093310 -
093311 -
093313 - ..
093314 - Post hike HR profile beginning 2359, aligns with indoor activity after
093315 - hiking 0 miles with temperature __, and showing no continuous
093316 - extended period steady elevated HR > 130, indicates no AFL, and no
093317 - possible atrial fibrillation, and after stopping Apixaban on 240711,
093318 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
093319 - patient history on 200101 0701. ref SDS 21 TSYT
093320 -
093322 - ..
093323 - 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
093324 - 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
093325 - 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
093326 - 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
093327 - 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
093328 - 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
093329 -
093330 -
093331 - https://flow.polar.com/training/analysis/8395147973
093333 - ..
093334 - HRV seems 10% 0 and 30% good and 60% poor overnight Polar HR report...
093335 -
093337 - 
093338 -
093339 -
093341 - ..
093342 - Breakfast - eggs toast avocado
093343 - Lunch -
093344 - Dinner - hamburger onion cottage cheese tomato
093346 - ..
093347 - Vomiting: 10% - dinner bloating PL 4
093348 -
093349 -
093350 -
093351 -
093352 -
093353 -
093354 -
093355 -
093356 -
093357 -
093358 -
093359 -
093360 -
093361 -
093362 -
093363 -
093364 -
093365 -
093366 -
093367 -
093368 -
093369 -
093370 -
093371 -
093372 -
093373 -
093374 -
093375 -
093377 - ..
093378 - H I K I N G
093379 - M E D I C A T I O N Miles Time V I T A L S
093380 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
093381 - ====================================================================================
093382 - Saturday
093383 - 132. 260808 0710............................................. summary vitals, ref SDS 21 9HIW
093384 - 0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
093385 - 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
093386 - 0720....BP HR..................................................... 158 87 69 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
093387 - 0725....BP HR..................................................... 167 76 56
093388 - 0730....BP HR..................................................... 164 79 60
093389 - 0735....weight.................................... 187
093390 - 0840....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
093391 - 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
093392 - 0000...
093393 - ..
093394 - 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
093395 - 1830............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
093396 - 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
093397 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
093398 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
093399 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
093400 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
093401 - 0000... 10 60 Cyclobenzaprine sleep aid
093402 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
093403 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
093404 -
093406 - ..
093407 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
093408 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
093410 - ..
093411 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
093412 - pain no longer in toes down to heels. Symptoms have increased pins
093413 - and needles tingling in evening, when feet are elevated in reclining
093414 - chair. Restless legs has not occurred for awhile, maybe because
093415 - hiking declined considerably - may return since hiking increased OA
093416 - 260727.
093418 - ..
093419 - Pain medication limitations reported in case study on 200101 0701.
093420 - ref SDS 21 KS5O
093422 - ..
093423 - Swallowing - difficult - must eat very slowly, small bites, chew
093424 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,
093425 - aspiration.
093427 - ..
093428 - Reflux slept in recliner chair to control aspiration, vomited less.
093429 -
093430 -
093431 -
093432 -
093433 -
093435 - ..
093436 - Kardia recorded HR 066 at 1134, Unclassified, looks mostly variable
093437 - heart beat lengths with p-waves and no artifact, likely no AFL after
093438 - hiking 00 miles temp __ yesterday, per above, ref SDS 0 LY68, and
093439 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely
093440 - arising from dysfuncational ANS following 6th ablation on 240611,
093441 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H Medical
093442 - history case study on 200101 0701. ref SDS 21 TSYT
093443 -
093444 -
093445 - pix: 950 450
093446 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260808-ecg-113411_mile_00_066_ucl_vrbl.pdf
093447 -
093448 -
093449 -
093451 - ..
093452 - Post hike HR profile beginning 2219, aligns with indoor activity after
093453 - hiking 0 miles with temperature __, and showing no continuous
093454 - extended period steady elevated HR > 130, indicates no AFL, and no
093455 - possible atrial fibrillation, and after stopping Apixaban on 240711,
093456 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
093457 - patient history on 200101 0701. ref SDS 21 TSYT
093458 -
093460 - ..
093461 - 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
093462 - 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
093463 - 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
093464 - 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
093465 - 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
093466 - 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
093467 -
093468 -
093469 - https://flow.polar.com/training/analysis/8395828037
093471 - ..
093472 - HRV seems 10% 0 and 30% good and 60% poor overnight Polar HR report...
093473 -
093475 - 
093476 -
093477 -
093479 - ..
093480 - Breakfast - eggs toast avocado
093481 - Lunch -
093482 - Dinner - hamburger onion cottage cheese tomato
093484 - ..
093485 - Vomiting: 10% - dinner bloating PL 4
093486 -
093487 -
093488 -
093489 -
093490 -
093491 -
093492 -
093493 -
093494 -
093495 -
093496 -
093497 -
093498 -
093499 -
093500 -
093501 -
093502 -
093503 -
093504 -
093505 -
093506 -
093507 -
093508 -
093509 -
093510 -
093511 -
093512 -
093513 -
093515 - ..
093516 - H I K I N G
093517 - M E D I C A T I O N Miles Time V I T A L S
093518 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
093519 - ====================================================================================
093520 - Sunday
093521 - 132. 260809 0710............................................. summary vitals, ref SDS 21 9HIW
093522 - 0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
093523 - 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
093524 - 0720....BP HR..................................................... 145 74 54 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
093525 - 0725....BP HR..................................................... 167 91 47
093526 - 0730....BP HR..................................................... 157 73 65
093527 - 0735....weight.................................... 187
093528 - 0735....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
093529 - 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
093530 - 0000...
093531 - ..
093532 - 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
093533 - 0000............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
093534 - 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
093535 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
093536 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
093537 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
093538 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
093539 - 0000... 10 60 Cyclobenzaprine sleep aid
093540 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
093541 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
093542 -
093544 - ..
093545 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
093546 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
093548 - ..
093549 - Peripheral Neuropathy, restless legs and/or PAD has increased though
093550 - still with pain no longer in toes down to heels. Symptoms have
093551 - increased pins and needles tingling in evening, when feet are elevated
093552 - in reclining chair. Restless legs has occurred, maybe because hiking
093553 - increased OA 260727, though paused 3 days ago -- odd.
093555 - ..
093556 - Pain medication limitations reported in case study on 200101 0701.
093557 - ref SDS 21 KS5O
093559 - ..
093560 - Swallowing - difficult - must eat very slowly, small bites, chew
093561 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,
093562 - aspiration.
093564 - ..
093565 - Reflux slept in bed 80%, and in recliner chair 20% to control
093566 - aspiration, vomited less.
093567 -
093568 -
093569 -
093571 - ..
093572 - Kardia recorded HR 048 at 0940, Possible Atrial Fibrillation, looks
093573 - mostly variable heart beat lengths with p-waves and no artifact,
093574 - likely no AFL after hiking 00 miles temp __ yesterday, per above,
093575 - ref SDS 0 6HZ8, and diagnosed ischemic colitis on 200612 0700,
093576 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th
093577 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.
093578 - ref SDS 73 NA4H Medical history case study on 200101 0701.
093579 - ref SDS 21 TSYT
093580 -
093581 -
093582 - pix: 950 450
093583 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260809-ecg-094018_mile_00_048_paf_vrbl.pdf
093584 -
093585 -
093586 -
093588 - ..
093589 - Post hike HR profile beginning 2005, aligns with indoor activity after
093590 - hiking 0 miles with temperature __, and showing no continuous
093591 - extended period steady elevated HR > 130, indicates no AFL, and no
093592 - possible atrial fibrillation, and after stopping Apixaban on 240711,
093593 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
093594 - patient history on 200101 0701. ref SDS 21 TSYT
093595 -
093597 - ..
093598 - 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
093599 - 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
093600 - 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
093601 - 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
093602 - 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
093603 - 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
093604 -
093605 -
093606 - https://flow.polar.com/training/analysis/8396497058
093608 - ..
093609 - HRV seems 10% 0 and 30% good and 60% poor overnight Polar HR report...
093610 -
093612 - 
093613 -
093614 -
093616 - ..
093617 - Breakfast - eggs toast avocado
093618 - Lunch -
093619 - Dinner - steak potato broccoli onion
093621 - ..
093622 - Vomiting: 0% - bloating PL 4
093623 -
093624 -
093625 -
093626 -
093627 -
093628 -
093629 -
093630 -
093631 -
093632 -
093633 -
093634 -
093635 -
093636 -
093637 -
093638 -
093639 -
093640 -
093641 -
093642 -
093643 -
093644 -
093645 -
093646 -
093647 -
093648 -
093649 -
093650 -
093652 - ..
093653 - H I K I N G
093654 - M E D I C A T I O N Miles Time V I T A L S
093655 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
093656 - ====================================================================================
093657 - Monday
093658 - 132. 260810 0720............................................. summary vitals, ref SDS 21 9HIW
093659 - 0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
093660 - 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
093661 - 0730....BP HR..................................................... 153 89 44 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
093662 - 0735....BP HR..................................................... 142 75 52
093663 - 0740....BP HR..................................................... 144 77 57
093664 - 0745....weight.................................... 187
093665 - 0745....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
093666 - 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
093667 - 0000...
093668 - ..
093669 - 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
093670 - 1830............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
093671 - 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
093672 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
093673 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
093674 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
093675 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
093676 - 0000... 10 60 Cyclobenzaprine sleep aid
093677 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
093678 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
093679 -
093681 - ..
093682 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
093683 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
093685 - ..
093686 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
093687 - pain no longer in toes down to heels. Symptoms have increased pins
093688 - and needles tingling in evening, when feet are elevated in reclining
093689 - chair. Restless legs has not occurred for awhile, maybe because
093690 - hiking declined considerably - may return since hiking increased OA
093691 - 260727, for 6 days, then paused past week.
093693 - ..
093694 - Pain medication limitations reported in case study on 200101 0701.
093695 - ref SDS 21 KS5O
093697 - ..
093698 - Swallowing - difficult - must eat very slowly, small bites, chew
093699 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,
093700 - aspiration.
093702 - ..
093703 - Reflux slept in bed 80%, and in recliner chair 20% to control
093704 - aspiration, vomited less.
093705 -
093706 -
093707 -
093708 -
093710 - ..
093711 - Kardia recorded HR 050 at 0801, Unclassified, looks mostly uniform
093712 - heart beat lengths with p-waves and no artifact, likely no AFL after
093713 - hiking 00 miles temp __ yesterday, per above, ref SDS 0 8BRL, and
093714 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely
093715 - arising from dysfuncational ANS following 6th ablation on 240611,
093716 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H Medical
093717 - history case study on 200101 0701. ref SDS 21 TSYT
093718 -
093719 -
093720 - pix: 950 450
093721 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260810-ecg-080130_mile_00_050_ucl_unfm.pdf
093722 -
093723 -
093725 - ..
093726 - Post hike HR profile beginning 1933, aligns with indoor activity after
093727 - hiking 0 miles with temperature __, and showing no continuous
093728 - extended period steady elevated HR > 130, indicates no AFL, and no
093729 - possible atrial fibrillation, and after stopping Apixaban on 240711,
093730 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
093731 - patient history on 200101 0701. ref SDS 21 TSYT
093732 -
093734 - ..
093735 - 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
093736 - 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
093737 - 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
093738 - 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
093739 - 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
093740 - 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
093741 -
093742 -
093743 - https://flow.polar.com/training/analysis/8397166515
093745 - ..
093746 - HRV seems 20% 0 and 40% good and 40% poor overnight Polar HR report...
093747 -
093749 - 
093750 -
093751 -
093753 - ..
093754 - Breakfast - eggs toast avocado
093755 - Lunch -
093756 - Dinner - hamburger potato broccoli onion tomato
093758 - ..
093759 - Vomiting: 0% - bloating PL 4
093760 -
093761 -
093762 -
093763 -
093764 -
093765 -
093766 -
093767 -
093768 -
093769 -
093770 -
093771 -
093772 -
093773 -
093774 -
093775 -
093776 -
093777 -
093778 -
093779 -
093780 -
093781 -
093782 -
093783 -
093784 -
093785 -
093786 -
093787 -
093789 - ..
093790 - H I K I N G
093791 - M E D I C A T I O N Miles Time V I T A L S
093792 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
093793 - ====================================================================================
093794 - Tuesday
093795 - 132. 260811 0530............................................. summary vitals, ref SDS 21 9HIW
093796 - 0530....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
093797 - 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
093798 - 0540....BP HR..................................................... 158 89 46 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
093799 - 0545....BP HR..................................................... 175 76 46
093800 - 0550....BP HR..................................................... 163 65 47
093801 - 0555....weight.................................... 187
093802 - 0715....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
093803 - 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
093804 - 0715... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
093805 - 0715....Avocado to increase HDL - 1/2 small
093806 - 0715....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)
093807 - 0715....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N
093808 - 0745....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0
093809 - 0745... 05 CoQ10 Ubiquinol Liquid - increases energy
093810 - 0745....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses
093811 - 0000...
093812 - ..
093813 - 0753....miles........... 18.0 18.0 286 286 minutes temp 85 wind 15 rain 0% light
093814 - 0000....................................................
093815 - 1053....mile 10 stopped EKG ... banana for potasium and swallow medication pills
093816 - 1053....Naproxen 500 mg took 1 pill
093817 - 1053... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
093818 - 1053... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
093819 - 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
093820 - paused 1053... Nuun Electrolytes Pill
093821 - 1053... 20 4060 CoQ10 Ubiquinol Liquid
093822 - 0000....................................................
093823 - 1605... Hike ends mile 18... ref SDS 0 6R8E
093824 - 0000...
093825 - 1620....weight.................................... 181 lost 5#
093826 - 1628....BP HR..................................................... 130 79 109
093827 - 1640....BP HR..................................................... 128 72 87
093828 - 1646....BP HR..................................................... 125 79 84
093829 - 0000...
093830 - ..
093831 - 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
093832 - 0000............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
093833 - 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
093834 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
093835 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
093836 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
093837 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
093838 - 0000... 10 60 Cyclobenzaprine sleep aid
093839 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
093840 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
093841 -
093843 - ..
093844 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
093845 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
093847 - ..
093848 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
093849 - pain no longer in toes down to heels. Symptoms have increased pins
093850 - and needles tingling in evening, when feet are elevated in reclining
093851 - chair. Restless legs has not occurred for awhile, maybe because
093852 - hiking declined considerably - may return since hiking increased OA
093853 - 260727.
093855 - ..
093856 - Pain medication limitations reported in case study on 200101 0701.
093857 - ref SDS 21 KS5O
093859 - ..
093860 - Swallowing - difficult - must eat very slowly, small bites, chew
093861 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,
093862 - aspiration.
093864 - ..
093865 - Reflux slept in bed 80%, and in recliner chair 20% to control
093866 - aspiration, vomited less.
093867 -
093868 -
093870 - ..
093871 - Summary... continuing difficulty swallowing nutrition, hydration and
093872 - medications, due to bloating with aspiration, that has been occurring
093873 - past week. Occurred less stopping at mile 10, for EKG, meds and
093874 - nutrition - was able keep down most meds. PL 2 most of hike wearing
093875 - new Brooks Glycerin 23 shoes received on 260730. This morning, before
093876 - hike took 1 Naproxen 500 mg capsule; at mile 10 needed only 1
093877 - Naproxen. Heat in mid 80s was less factor limiting hike
093878 -
093879 -
093881 - ..
093882 - Pain Location Pain Level % of Hike
093883 - ----------------------------------------- ---------- ---------
093884 - Stomach pain ischemic colitis bloating....... 4 40 bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating
093885 - 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
093886 - Hands cramping hurting - post hike........... 0 100 hands and thumbs cramping 2 hours after hike
093887 - Hands flinching post hike muscle spasms...... 0 100
093888 - Chest pain................................... 0 100 began about mile 8, taking Tramadol and Gabapenin mile 11helped
093889 - 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
093890 - Breathing ARDS............................... 0 100 difficulty breathing due to grade and length
093891 - Trapezius right side neck/shoulder........... 0 100 no recurrance today momentarily last half hike turning body and head left or right
093892 - Spine below neck lift left or right arm...... 0 100 did not occur today, but not a factor if head held steady
093893 - Neck turning head/chest left or right........ 0 100 episodes mile 18+ took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00
093894 - 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
093895 - Bicep tendon strain across elbow right arm... 0 100
093896 - 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
093897 - Hands sunburned itching rash................. 0 100 omitted sunblock today 260512, just forgot
093898 - Hip left..................................... 0 100 noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped
093899 - Back......................................... 0 100
093900 - Hip right.................................... 0 100
093901 - Shin splint pain both legs................... 0 100
093902 - Knee left skin lesions left side............. 0 100
093903 - 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
093904 - Knee left patalla...PRP 210705............... 0 100
093905 - Knee buckling left..PRP 191209.240108........ 0 100 began coming down Ygnacio Valley Road about mile 22 - intermittant
093906 - Knee left anterior cruciate ligament......... 0 100 same as knee buckling
093907 - Knee right cruciate ligament back of knee.... 0 100
093908 - 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
093909 - Achilees tendon right leg collaps/buckling... 0 100 did not recur today
093910 - Quadraceps both legs......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
093911 - Hamstring tendon left leg.PRP 210705......... 0 100
093912 - Hamstring left leg........................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
093913 - Hamstring right leg.......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
093914 - Calf left.................................... 0 100
093915 - Tailor's Bunion left foot.. PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
093916 - Tailor's Bunion right foot..PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
093917 - Plantar plate right foot..................... 0 100
093918 - Electric shocks middle 3 toes right foot..... 0 100 occurred intermittanly for minutes maybe twice
093919 - Metatarsalgia left foot...PRP 260403......... 0 100 PRP 260403 may be curing this injury
093920 - Metatarsalgia right foot..PRP 260403......... 0 100 PRP 260403 may be curing this injury
093921 - new Right foot fat pad below #3 & #4,,,,,,,,,,... 0 100 PRP 260403 may be curing this injury
093922 - 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
093923 - Planarfaciitis right foot..240213............. 0 100
093924 - Feet bottom soles hurt socks worn out........ 0 100
093925 - 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
093926 - Ankle left achilles heel on 220416........... 0 100 left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today
093927 - Ankle right pain on 200407 and 231203........ 0 100 xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal
093928 - Foot right possible fracture 200917......... 0 100 CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831
093929 - Hallux Valgus right foot..................... 0 100 seems stable despite hiking therapeutic miles
093930 - Cut big right foot........................... 0 100 Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316
093931 - 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.
093932 - Callus big toe right foot...PRP 210705....... 0 100 peeled large callus just before hike - stable no pain for multiple months
093933 - Blister below big toe right foot............. 0 100
093934 - Blister below big toe left foot.............. 0 100 new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725
093935 - 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
093936 - 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
093937 - Blister forefoot toes right foot............. 0 100
093938 - 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
093939 - 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
093940 - 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
093941 - 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,
093942 - Blister ring toe left foot.new 240602........ 0 100 seems healed today on 240626
093943 - 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
093944 - 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
093945 - 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
093946 - Blister top foot at toe line left foot....... 0 100
093947 - 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
093948 - 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
093949 - Blister top long and middle toes left foot... 0 100
093950 - 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
093951 - 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
093952 - Diabetes toes both feet inflamed, itch....... 0 100 Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms
093953 - 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
093954 - Peripheral neruopathy top left hand.......... 0 100 worse after 2 miles and calmed by mile 8
093955 - Peripheral neruopathy top right hand......... 0 100 worse after 2 miles and calmed by mile 8
093956 - Veering left................................. 0 100 veering left about mile 15 last 5 miles
093957 - Veering right ............................... 0 100
093958 - Fall......................................... 0 100
093959 - Restless legs................................ 0 100
093960 - AFL...5th ablation on 231214................. 0 100 Polar shows no AFL entire hike
093961 - 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
093962 - Wasted - very fatigued....................... 2 20 last 4 miles heat reached 92, had to end hike at 21
093963 - Hiker's rash vasculitis.see 210618........... 0 100 after hike quads show heat rash
093964 -
093965 -
093967 - ..
093968 - Shoes see case study on 200101 0701. ref SDS 21 SO4L Wore new Brooks
093969 - Glycerin 23 shoes size 11.5 width 4E, received 260730. Very good hike
093970 - again mostly PL 0. After 7 hikes, getting pressure top metatarsals
093971 - mostly right foot. Callus left foot #1 returning.
093973 - ..
093974 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin
093975 - with more padding to transfer load from forefeet to instep arch,
093976 - received from Doctor Hewitson at VA Podiatry on 260727 0900.
093977 - ref SDS C6 LJHN
093979 - ..
093980 - Callus Injuries - in recent weeks, have peeled large sections of
093981 - callus on left foot #1 edge and bottom of toe, completed on 260725,
093982 - per above. ref SDS 0 TI2H Yesterday, Doctor Tang and his assistant,
093983 - John, in VA Podiatry maintained wounds from these feet callus removals
093984 - yesterday on 260730 0900. ref SDS C7 5A4I Callus injuries recurring
093985 - left foot #1 including wrapping beneath the toe, and callus left foot
093986 - #5, and same on right foot, but possibly more slowly comparitively
093987 - favorable result of better shoes and insets supported by expert care.
093988 - Good news is that while the injury expresses pain in moments, the
093989 - foot, shoe, insert and socks somehow make adjustment that ends pain,
093990 - i.e., it just goes away. If this is repeated with hiking restored to
093991 - therapeutic levels in days, weeks, months ahead, then HDL 51 reported
093992 - on 260727, should recover > 60, along with EPCs and telomeres that
093993 - maintain good health, including recovery from dysfunctional ANS.
093995 - ..
093996 - Socks see case study on 200101 0701. ref SDS 21 0S6N Wore 2 pair
093997 - dual-ply Wrightsocks socks.
093998 -
093999 -
094001 - ..
094002 - Concord 18 mile route - took Glucosamine Chondroitin for OA
094003 - protection, mainly left knee treated with PRP intra articular
094004 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,
094005 - and also left hip, which flares few times a month, but not for a month
094006 - or more. Took 1 Naproxen 500 mg for pain management - cut in half to
094007 - aid swallowing, there is no metatarsalgia pain in feet starting hike
094008 - today, and both feet #1 and #5 calluses both PL 0 - were shaved down
094009 - by Doctor Tang in VAMC Podiatry on 260730 0900, ref SDS C7 5H6F; left
094010 - foot #1 #5 calluses growing again, possibly more slowly. Took 4
094011 - Magnesium Complex 300 mg pills for energy and absorbing lactic acid
094012 - that enable hiking, and reduce inflammation, all enabling HDL to
094013 - increase, and together with rising EPCs regress plaque in blood
094014 - vessels - see research on 200101 0701, ref SDS 21 QP6L Took 2 CoQ10
094015 - capsules for energy, and took 2 Turmeric Curcumin 2250 mg pills that
094016 - resolve inflammation, essential for HDL to rise. Swallowed pills
094017 - separately (1 at a time) and whole combined with small amount avocado,
094018 - mayonaise, peanut butter and margarine - pills slip through LESV
094019 - easier when swallowed combined with chewed up food in mouth. About 20
094020 - minutes later, after dressing for hike, took liquid Turmeric Curcumin
094021 - and Ubiquinol CoQ10 per above. ref SDS 0 UWCH CoQ10 is an enzyme
094022 - produced in the body that supports an electron transport chain (ETC)
094023 - giving human cells energy - see case study on 200101 0701. ref SDS 21
094024 - 136K No breakfast reduces bloating feeling starting hike from
094025 - ischemic colitis caused by taking statins and other drugs, also
094026 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -
094027 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H
094028 - Did not take backpack to carry stuff - good to build conditioning for
094029 - Half Dome - because extra weight increases pressure that causes feet
094030 - injuries, e.g., calluses. Did not feel well starting hike - increased
094031 - bloating and left foot #1 PL 5. Did mile loop around the block to
094032 - start hike, which identifies bloating and feet wound issues that can
094033 - be treated, before problems arise miles from home - bloating and left
094034 - foot calmed. Hiked Cuneo .25 mile and turned left, onto Treat - was
094035 - not weak and slow this morning. Steady hiking caused HDL 65 on
094036 - 260302, but pausing lowered to HDL 51 last lab on 260727; daily hiking
094037 - since then elevated back to HDL 55 on 260806. Breathed through nose
094038 - entire hike with no dyspnea, indicating conditioning has sustained,
094039 - despite on and mostly off hiking last few months, albeit have not been
094040 - hiking Crystal Ranch Road, resulting in dyspnea on 260727, hiking
094041 - uphill to Cliff House and on Point Lobos for .25 mile returning to
094042 - hospital. Started hike late in morning OA 1004, with temperature at
094043 - 75, and reached 92. East wind 15 mph and mostly 10 mph, which was
094044 - cooling at times; in fact heat was debilitating last 3 miles.
094045 - Continued East on Treat .5 miles. Turned right hiking South on
094046 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,
094047 - some places 3% uphill, and very light traffic. Maintained normal pace
094048 - 15 minute miles. Did not hike across Newhall Community park and back
094049 - today. Continued on Turtle Creek Road uphill 4% grade. At end of
094050 - Turtle Creek Road turned left onto Ayers hiking East .75 miles on
094051 - asphalt road shoulder. At mile 5, turned right onto Clayton Road
094052 - hiking South .5 miles on asphalt pavement in parking lots of shopping
094053 - complex. Stopped at Lucky store to buy banana with potassium that
094054 - complements meds for energy, and aids swallowing meds to slip through
094055 - tightening LESV, pending EGD dilation on 260821. Crossed Alberto Way
094056 - at traffic light and continued on concrete sidewalk .5 miles. Energy
094057 - maintained - no need to stop at Mountain Mike's Pizza restaurant to
094058 - take meds for energy. Turned right going West on Ygnacio Valley Road
094059 - using concrete sidewalk .5 miles. Continued past Park Highlands Road
094060 - at traffic stoplight and heading West .25 miles on very narrow asphalt
094061 - shoulder next to high risk heavy morning commute traffic. Crossed to
094062 - South side Ygnacio Valley Road hiking on wider shoulder past stoplight
094063 - at Michigan Boulevard. Hiked another .25 miles to Chevron gas station
094064 - and store. At mile 7, turned left onto Pine Hollow, - hiked East 1.5
094065 - miles. At Pine Hollow Middle School mile 8, turned around and hiked
094066 - back. Turned right onto Ygnacio Valley Road, and hiked back .25 mile.
094067 - Turned and hiked back stopping at Chevron gas station store mile 10,
094068 - time 1053, temp 73 and wind 08 mph; EKG looks mostly uniform with
094069 - minor artifact. Kardia reported HR 107 Tachycardia, - see below.
094070 - ref SDS 0 UGVK Bloating PL 4, energy deficit PL 3, both feet
094071 - metatarsalgia PL 2. Left foot #1 PL 2 and #5 PL 0. Right foot #5 PL
094072 - 0; top of #3, #4, #5 PL 0 feels better today, than past 3 weeks. Took
094073 - 1 Naproxen 500 mg total today 2 for pain. Took 4 Magnesium complex
094074 - 300 mg pills - total today 8 - for energy, absorbing lactic acid, per
094075 - research on 200101 0701. ref SDS 21 QP6L Took 2 Turmeric Curcumin
094076 - 2250 mg - total today 4 - to reduce inflammation. Fortunate did not
094077 - feel extremely bad, as on 260806; esophagus was filling up, but able
094078 - to take 2 CoQ10 pills - total today 4 - to increase energy. Sips
094079 - softdrink purchased from Chev store for hydration and swallowing
094080 - nutrition - banana purchased at Lucky store enables swallowing
094081 - medication pills combined with bites of banana to slip through LESV
094082 - now contracted due to achalasia, pending dilation procedure scheduled
094083 - on 260821. Took Ubiquinol CoQ10 0.6 ml liquid for HDL and energy to
094084 - finish hike. Took Nuun electrolyte pill, all per above. ref SDS 0
094085 - GABE Was beginning to aspirate from build up above LESV. Continued
094086 - hike heading East back on original route Ygnacio Valley Road. Vomited
094087 - small about 10% of lunch. Turned around before reaching Michigan
094088 - Boulevard. Hiked back and turned left heading East again on Pine
094089 - Hollow. At mile 12, near Pennyslvania Boulevard turned around and
094090 - hiked back to Ygnacio. Turned left hiking West on Campus Drive.
094091 - Continued 1 mile West uphill 3% grade against wind 12 mph. The road
094092 - bends North. Turned left heading West on Ygnacio Valley road .50
094093 - mile. Temperature 85 became a factor lowering energy. Continued past
094094 - Crystal Ranch Road on Ygnacio Valley road .5 mile uphill 3% grade
094095 - against wind 15 mph - temp 85. Feeling better than last week,
094096 - continued past Cowell. At summit, hiked .5 mile back and turned left
094097 - going North on Cowell .25 mile downhill 5% grade. Continued .25 mile
094098 - with very narrow shoulder and no demarcation line separating vehicle
094099 - traffic. Turned left onto Treat for .25 mile; turned right on Cunio
094100 - and home. Ended hike mile 18 time 1352 temp 86, wind 15, bloating PL
094101 - 4, energy deficit 3, feet metatarsalgia PL 3, left foot #1 edge PL 2,
094102 - #5 edge PL 2, right foot #1 PL 0, #5 PL 2, top #3, #4 blistering PL 0,
094103 - burning sensation PL 0. EKG sinus with minor artifact, Kardia
094104 - reported HR 115 Tachycardia - see below. ref SDS 0 6G2W
094105 -
094106 -
094107 -
094108 -
094109 -
094110 -
094111 -
094112 -
094113 -
094114 -
094115 -
094116 -
094118 - ..
094119 - Kardia recorded HR 061 at 0549, Unclassified, looks mostly uniform
094120 - heart beat lengths with p-waves and no artifact, likely no AFL after
094121 - hiking 00 miles temp __ yesterday, per above, ref SDS 0 6JML, and
094122 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely
094123 - arising from dysfuncational ANS following 6th ablation on 240611,
094124 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H Medical
094125 - history case study on 200101 0701. ref SDS 21 TSYT
094126 -
094127 -
094128 - pix: 950 450
094129 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260811-ecg-054937_mile_00_061_ucl_vrbl.pdf
094130 -
094131 -
094132 -
094133 -
094135 - ..
094136 - Polar HR GPS study *** low accuracy GPS used *** in Concord.
094137 - California, hike 18 miles with max temperature 85, - Medical history
094138 - case study on 200101 0701. ref SDS 21 118K
094139 - ..
094140 - x
094141 - Reported Samsung GPS mileage...
094142 - x x A
094143 - x x x
094144 - 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
094145 - 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
094146 - 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
094147 - ** 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
094148 - 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
094149 - 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
094150 - 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
094151 - 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
094152 -
094153 -
094154 -
094155 - https://flow.polar.com/training/analysis/8397550047
094156 -
094158 - ..
094160 - 
094161 -
094162 -
094163 -
094164 -
094166 - ..
094167 - EKG at mile 10 time 1053, HR 107 temp 73, wind 08; Kardia reported
094168 - Tachycardia... heart rate looks mostly uniform with minor artifact -
094169 - medical history case study on 200101 0701. ref SDS 21 TSYT
094170 -
094171 -
094172 - pix: 950 450
094173 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260811-ecg-105356_mile_10_107_tcy_unfm.pdf
094174 -
094175 -
094176 -
094178 - ..
094179 - End hike EKG at mile 18, time 1352 HR 115 temp 92, wind 16 - Kardia
094180 - reported Tachycardia... looks like sinus mostly uniform with minor
094181 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT
094182 -
094183 -
094184 - pix: 950 450
094185 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260811-ecg-135224_mile_18_115_tcy_unfm.pdf
094186 -
094187 -
094188 -
094189 -
094191 - ..
094192 - Post hike HR profile beginning 2201, aligns with indoor activity after
094193 - hiking 18 miles with temperature 85, and showing no continuous
094194 - extended period steady elevated HR > 130, indicates no AFL, and no
094195 - possible atrial fibrillation, and after stopping Apixaban on 240711,
094196 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
094197 - patient history on 200101 0701. ref SDS 21 TSYT
094198 -
094200 - ..
094201 - 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
094202 - 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
094203 - 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
094204 - 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
094205 - 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
094206 - 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
094207 -
094208 -
094209 - https://flow.polar.com/training/analysis/8398022361
094211 - ..
094212 - HRV seems 10% 0 and 30% good and 70% poor overnight Polar HR report...
094213 -
094215 - 
094216 -
094217 -
094219 - ..
094220 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds
094221 - Lunch - banana with hiking meds
094222 - Dinner - steak potato broccoli onion tomato
094224 - ..
094225 - Vomiting: 10% lunch - bloating PL 4
094226 -
094227 -
094228 -
094229 -
094230 -
094231 -
094232 -
094233 -
094234 -
094235 -
094236 -
094237 -
094238 -
094239 -
094240 -
094241 -
094242 -
094243 -
094244 -
094245 -
094246 -
094247 -
094248 -
094249 -
094250 -
094251 -
094252 -
094253 -
094254 -
094255 -
094257 - ..
094258 - H I K I N G
094259 - M E D I C A T I O N Miles Time V I T A L S
094260 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
094261 - ====================================================================================
094262 - Wednesday
094263 - 132. 260812 0710............................................. summary vitals, ref SDS 21 9HIW
094264 - 0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
094265 - 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
094266 - 0720....BP HR..................................................... 163 68 47 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
094267 - 0725....BP HR..................................................... 163 63 69
094268 - 0730....BP HR..................................................... 152 64 52
094269 - 0735....weight.................................... 187
094270 - 0735....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
094271 - 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
094272 - 0000...
094273 - ..
094274 - 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
094275 - 1830............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
094276 - 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
094277 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
094278 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
094279 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
094280 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
094281 - 0000... 10 60 Cyclobenzaprine sleep aid
094282 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
094283 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
094284 -
094286 - ..
094287 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
094288 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
094290 - ..
094291 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
094292 - pain no longer in toes down to heels. Symptoms have increased pins
094293 - and needles tingling in evening, when feet are elevated in reclining
094294 - chair. Restless legs has not occurred for awhile, maybe because
094295 - hiking declined considerably - may return since hiking increased OA
094296 - 260727.
094298 - ..
094299 - Pain medication limitations reported in case study on 200101 0701.
094300 - ref SDS 21 KS5O
094302 - ..
094303 - Swallowing - difficult - must eat very slowly, small bites, chew
094304 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,
094305 - aspiration.
094307 - ..
094308 - Reflux slept in bed 80%, and in recliner chair 20% to control
094309 - aspiration, vomited none.
094310 -
094311 -
094312 -
094313 -
094314 -
094316 - ..
094317 - Kardia recorded HR 050 at 0923, Possible Atrial Fibrillation, looks
094318 - mostly variable heart beat lengths with p-waves and no artifact,
094319 - likely no AFL after hiking 18 miles temp 85 yesterday, per above,
094320 - ref SDS 0 UWCH, and diagnosed ischemic colitis on 200612 0700,
094321 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th
094322 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.
094323 - ref SDS 73 NA4H Medical history case study on 200101 0701.
094324 - ref SDS 21 TSYT
094325 -
094326 -
094327 - pix: 950 450
094328 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260812-ecg-092310_mile_00_050_paf_vrbl.pdf
094329 -
094330 -
094332 - ..
094333 - Post hike HR profile beginning 2039, aligns with indoor activity after
094334 - hiking 0 miles with temperature __, and showing no continuous
094335 - extended period steady elevated HR > 130, indicates no AFL, and no
094336 - possible atrial fibrillation, and after stopping Apixaban on 240711,
094337 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
094338 - patient history on 200101 0701. ref SDS 21 TSYT
094339 -
094341 - ..
094342 - 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
094343 - 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
094344 - 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
094345 - 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
094346 - 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
094347 - 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
094348 -
094349 -
094350 - https://flow.polar.com/training/analysis/8398757787
094352 - ..
094353 - HRV seems 10% 0 and 30% good and 70% poor overnight Polar HR report...
094354 -
094356 - 
094357 -
094358 -
094360 - ..
094361 - Breakfast - eggs avocado
094362 - Lunch -
094363 - Dinner - macaroni cheese steak broccoli onion
094365 - ..
094366 - Vomiting: 0% - bloating PL 4
094367 -
094368 -
094369 -
094370 -
094371 -
094372 -
094373 -
094374 -
094375 -
094376 -
094377 -
094378 -
094379 -
094380 -
094381 -
094382 -
094383 -
094384 -
094385 -
094386 -
094387 -
094388 -
094389 -
094390 -
094391 -
094392 -
094393 -
094394 -
094395 -
094396 -
094398 - ..
094399 - H I K I N G
094400 - M E D I C A T I O N Miles Time V I T A L S
094401 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
094402 - ====================================================================================
094403 - Thursday
094404 - 132. 260813 0710............................................. summary vitals, ref SDS 21 9HIW
094405 - 0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
094406 - 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
094407 - 0720....BP HR..................................................... 163 68 47 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
094408 - 0725....BP HR..................................................... 163 63 69
094409 - 0730....BP HR..................................................... 152 64 52
094410 - 0735....weight.................................... 186
094411 - 0735....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
094412 - 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
094413 - 0000... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
094414 - 0000....Avocado to increase HDL - 1/2 small
094415 - 0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)
094416 - 0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N
094417 - 0000....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0
094418 - 0000... 05 CoQ10 Ubiquinol Liquid - increases energy
094419 - 0000....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses
094420 - 0000...
094421 - ..
094422 - 0753....miles........... 18.0 18.0 286 286 minutes temp 85 wind 15 rain 0% light
094423 - 0000....................................................
094424 - 1053....mile 10 stopped EKG ... banana for potasium and swallow medication pills
094425 - 1053....Naproxen 500 mg took 1 pill
094426 - 1053... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
094427 - 1053... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
094428 - 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
094429 - paused 1053... Nuun Electrolytes Pill
094430 - 1053... 20 4060 CoQ10 Ubiquinol Liquid
094431 - 0000....................................................
094432 - 1605... Hike ends mile 18... ref SDS 0 6R8E
094433 - 0000...
094434 - 1620....weight.................................... 181 lost 5#
094435 - 1628....BP HR..................................................... 130 79 109
094436 - 1640....BP HR..................................................... 128 72 87
094437 - 1646....BP HR..................................................... 125 79 84
094438 - 0000...
094439 - ..
094440 - 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
094441 - 0000............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
094442 - 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
094443 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
094444 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
094445 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
094446 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
094447 - 0000... 10 60 Cyclobenzaprine sleep aid
094448 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
094449 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
094450 -
094452 - ..
094453 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
094454 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
094456 - ..
094457 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
094458 - pain no longer in toes down to heels. Symptoms have increased pins
094459 - and needles tingling in evening, when feet are elevated in reclining
094460 - chair. Restless legs has not occurred for awhile, maybe because
094461 - hiking declined considerably - may return since hiking increased OA
094462 - 260727.
094464 - ..
094465 - Pain medication limitations reported in case study on 200101 0701.
094466 - ref SDS 21 KS5O
094468 - ..
094469 - Swallowing - difficult - must eat very slowly, small bites, chew
094470 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,
094471 - aspiration.
094473 - ..
094474 - Reflux slept in bed 80%, and in recliner chair 20% to control
094475 - aspiration, vomited less.
094476 -
094477 -
094479 - ..
094480 - Summary... continuing difficulty swallowing nutrition, hydration and
094481 - medications, due to bloating with aspiration, that has been occurring
094482 - past week. Occurred less stopping at mile 10, for EKG, meds and
094483 - nutrition - was able keep down most meds. PL 2 most of hike wearing
094484 - new Brooks Glycerin 23 shoes received on 260730. This morning, before
094485 - hike took 1 Naproxen 500 mg capsule; at mile 10 needed only 1
094486 - Naproxen. Heat in mid 80s was less factor limiting hike
094487 -
094488 -
094490 - ..
094491 - Pain Location Pain Level % of Hike
094492 - ----------------------------------------- ---------- ---------
094493 - Stomach pain ischemic colitis bloating....... 4 40 bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating
094494 - 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
094495 - Hands cramping hurting - post hike........... 0 100 hands and thumbs cramping 2 hours after hike
094496 - Hands flinching post hike muscle spasms...... 0 100
094497 - Chest pain................................... 0 100 began about mile 8, taking Tramadol and Gabapenin mile 11helped
094498 - 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
094499 - Breathing ARDS............................... 0 100 difficulty breathing due to grade and length
094500 - Trapezius right side neck/shoulder........... 0 100 no recurrance today momentarily last half hike turning body and head left or right
094501 - Spine below neck lift left or right arm...... 0 100 did not occur today, but not a factor if head held steady
094502 - Neck turning head/chest left or right........ 0 100 episodes mile 18+ took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00
094503 - 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
094504 - Bicep tendon strain across elbow right arm... 0 100
094505 - 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
094506 - Hands sunburned itching rash................. 0 100 omitted sunblock today 260512, just forgot
094507 - Hip left..................................... 0 100 noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped
094508 - Back......................................... 0 100
094509 - Hip right.................................... 0 100
094510 - Shin splint pain both legs................... 0 100
094511 - Knee left skin lesions left side............. 0 100
094512 - 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
094513 - Knee left patalla...PRP 210705............... 0 100
094514 - Knee buckling left..PRP 191209.240108........ 0 100 began coming down Ygnacio Valley Road about mile 22 - intermittant
094515 - Knee left anterior cruciate ligament......... 0 100 same as knee buckling
094516 - Knee right cruciate ligament back of knee.... 0 100
094517 - 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
094518 - Achilees tendon right leg collaps/buckling... 0 100 did not recur today
094519 - Quadraceps both legs......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
094520 - Hamstring tendon left leg.PRP 210705......... 0 100
094521 - Hamstring left leg........................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
094522 - Hamstring right leg.......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
094523 - Calf left.................................... 0 100
094524 - Tailor's Bunion left foot.. PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
094525 - Tailor's Bunion right foot..PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
094526 - Plantar plate right foot..................... 0 100
094527 - Electric shocks middle 3 toes right foot..... 0 100 occurred intermittanly for minutes maybe twice
094528 - Metatarsalgia left foot...PRP 260403......... 0 100 PRP 260403 may be curing this injury
094529 - Metatarsalgia right foot..PRP 260403......... 0 100 PRP 260403 may be curing this injury
094530 - new Right foot fat pad below #3 & #4,,,,,,,,,,... 0 100 PRP 260403 may be curing this injury
094531 - 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
094532 - Planarfaciitis right foot..240213............. 0 100
094533 - Feet bottom soles hurt socks worn out........ 0 100
094534 - 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
094535 - Ankle left achilles heel on 220416........... 0 100 left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today
094536 - Ankle right pain on 200407 and 231203........ 0 100 xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal
094537 - Foot right possible fracture 200917......... 0 100 CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831
094538 - Hallux Valgus right foot..................... 0 100 seems stable despite hiking therapeutic miles
094539 - Cut big right foot........................... 0 100 Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316
094540 - 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.
094541 - Callus big toe right foot...PRP 210705....... 0 100 peeled large callus just before hike - stable no pain for multiple months
094542 - Blister below big toe right foot............. 0 100
094543 - Blister below big toe left foot.............. 0 100 new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725
094544 - 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
094545 - 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
094546 - Blister forefoot toes right foot............. 0 100
094547 - 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
094548 - 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
094549 - 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
094550 - 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,
094551 - Blister ring toe left foot.new 240602........ 0 100 seems healed today on 240626
094552 - 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
094553 - 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
094554 - 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
094555 - Blister top foot at toe line left foot....... 0 100
094556 - 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
094557 - 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
094558 - Blister top long and middle toes left foot... 0 100
094559 - 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
094560 - 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
094561 - Diabetes toes both feet inflamed, itch....... 0 100 Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms
094562 - 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
094563 - Peripheral neruopathy top left hand.......... 0 100 worse after 2 miles and calmed by mile 8
094564 - Peripheral neruopathy top right hand......... 0 100 worse after 2 miles and calmed by mile 8
094565 - Veering left................................. 0 100 veering left about mile 15 last 5 miles
094566 - Veering right ............................... 0 100
094567 - Fall......................................... 0 100
094568 - Restless legs................................ 0 100
094569 - AFL...5th ablation on 231214................. 0 100 Polar shows no AFL entire hike
094570 - 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
094571 - Wasted - very fatigued....................... 2 20 last 4 miles heat reached 92, had to end hike at 21
094572 - Hiker's rash vasculitis.see 210618........... 0 100 after hike quads show heat rash
094573 -
094574 -
094576 - ..
094577 - Shoes see case study on 200101 0701. ref SDS 21 SO4L Wore new Brooks
094578 - Glycerin 23 shoes size 11.5 width 4E, received 260730. Very good hike
094579 - again mostly PL 0. After 7 hikes, getting pressure top metatarsals
094580 - mostly right foot. Callus left foot #1 returning.
094582 - ..
094583 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin
094584 - with more padding to transfer load from forefeet to instep arch,
094585 - received from Doctor Hewitson at VA Podiatry on 260727 0900.
094586 - ref SDS C6 LJHN
094588 - ..
094589 - Callus Injuries - in recent weeks, have peeled large sections of
094590 - callus on left foot #1 edge and bottom of toe, completed on 260725,
094591 - per above. ref SDS 0 TI2H Yesterday, Doctor Tang and his assistant,
094592 - John, in VA Podiatry maintained wounds from these feet callus removals
094593 - yesterday on 260730 0900. ref SDS C7 5A4I Callus injuries recurring
094594 - left foot #1 including wrapping beneath the toe, and callus left foot
094595 - #5, and same on right foot, but possibly more slowly comparitively
094596 - favorable result of better shoes and insets supported by expert care.
094597 - Good news is that while the injury expresses pain in moments, the
094598 - foot, shoe, insert and socks somehow make adjustment that ends pain,
094599 - i.e., it just goes away. If this is repeated with hiking restored to
094600 - therapeutic levels in days, weeks, months ahead, then HDL 51 reported
094601 - on 260727, should recover > 60, along with EPCs and telomeres that
094602 - maintain good health, including recovery from dysfunctional ANS.
094604 - ..
094605 - Socks see case study on 200101 0701. ref SDS 21 0S6N Wore 2 pair
094606 - dual-ply Wrightsocks socks.
094607 -
094608 -
094610 - ..
094611 - Concord 18 mile route - took Glucosamine Chondroitin for OA
094612 - protection, mainly left knee treated with PRP intra articular
094613 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,
094614 - and also left hip, which flares few times a month, but not for a month
094615 - or more. Took 1 Naproxen 500 mg for pain management - cut in half to
094616 - aid swallowing, there is no metatarsalgia pain in feet starting hike
094617 - today, and both feet #1 and #5 calluses both PL 0 - were shaved down
094618 - by Doctor Tang in VAMC Podiatry on 260730 0900, ref SDS C7 5H6F; left
094619 - foot #1 #5 calluses growing again, possibly more slowly. Took 4
094620 - Magnesium Complex 300 mg pills for energy and absorbing lactic acid
094621 - that enable hiking, and reduce inflammation, all enabling HDL to
094622 - increase, and together with rising EPCs regress plaque in blood
094623 - vessels - see research on 200101 0701, ref SDS 21 QP6L Took 2 CoQ10
094624 - capsules for energy, and took 2 Turmeric Curcumin 2250 mg pills that
094625 - resolve inflammation, essential for HDL to rise. Swallowed pills
094626 - separately (1 at a time) and whole combined with small amount avocado,
094627 - mayonaise, peanut butter and margarine - pills slip through LESV
094628 - easier when swallowed combined with chewed up food in mouth. About 20
094629 - minutes later, after dressing for hike, took liquid Turmeric Curcumin
094630 - and Ubiquinol CoQ10 per above. ref SDS 0 UWCH CoQ10 is an enzyme
094631 - produced in the body that supports an electron transport chain (ETC)
094632 - giving human cells energy - see case study on 200101 0701. ref SDS 21
094633 - 136K No breakfast reduces bloating feeling starting hike from
094634 - ischemic colitis caused by taking statins and other drugs, also
094635 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -
094636 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H
094637 - Did not take backpack to carry stuff - good to build conditioning for
094638 - Half Dome - because extra weight increases pressure that causes feet
094639 - injuries, e.g., calluses. Did not feel well starting hike - increased
094640 - bloating and left foot #1 PL 5. Did mile loop around the block to
094641 - start hike, which identifies bloating and feet wound issues that can
094642 - be treated, before problems arise miles from home - bloating and left
094643 - foot calmed. Hiked Cuneo .25 mile and turned left, onto Treat - was
094644 - not weak and slow this morning. Steady hiking caused HDL 65 on
094645 - 260302, but pausing lowered to HDL 51 last lab on 260727; daily hiking
094646 - since then elevated back to HDL 55 on 260806. Breathed through nose
094647 - entire hike with no dyspnea, indicating conditioning has sustained,
094648 - despite on and mostly off hiking last few months, albeit have not been
094649 - hiking Crystal Ranch Road, resulting in dyspnea on 260727, hiking
094650 - uphill to Cliff House and on Point Lobos for .25 mile returning to
094651 - hospital. Started hike late in morning OA 1004, with temperature at
094652 - 75, and reached 92. East wind 15 mph and mostly 10 mph, which was
094653 - cooling at times; in fact heat was debilitating last 3 miles.
094654 - Continued East on Treat .5 miles. Turned right hiking South on
094655 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,
094656 - some places 3% uphill, and very light traffic. Maintained normal pace
094657 - 15 minute miles. Did not hike across Newhall Community park and back
094658 - today. Continued on Turtle Creek Road uphill 4% grade. At end of
094659 - Turtle Creek Road turned left onto Ayers hiking East .75 miles on
094660 - asphalt road shoulder. At mile 5, turned right onto Clayton Road
094661 - hiking South .5 miles on asphalt pavement in parking lots of shopping
094662 - complex. Stopped at Lucky store to buy banana with potassium that
094663 - complements meds for energy, and aids swallowing meds to slip through
094664 - tightening LESV, pending EGD dilation on 260821. Crossed Alberto Way
094665 - at traffic light and continued on concrete sidewalk .5 miles. Energy
094666 - maintained - no need to stop at Mountain Mike's Pizza restaurant to
094667 - take meds for energy. Turned right going West on Ygnacio Valley Road
094668 - using concrete sidewalk .5 miles. Continued past Park Highlands Road
094669 - at traffic stoplight and heading West .25 miles on very narrow asphalt
094670 - shoulder next to high risk heavy morning commute traffic. Crossed to
094671 - South side Ygnacio Valley Road hiking on wider shoulder past stoplight
094672 - at Michigan Boulevard. Hiked another .25 miles to Chevron gas station
094673 - and store. At mile 7, turned left onto Pine Hollow, - hiked East 1.5
094674 - miles. At Pine Hollow Middle School mile 8, turned around and hiked
094675 - back. Turned right onto Ygnacio Valley Road, and hiked back .25 mile.
094676 - Turned and hiked back stopping at Chevron gas station store mile 10,
094677 - time 1053, temp 73 and wind 08 mph; EKG looks mostly uniform with
094678 - minor artifact. Kardia reported HR 107 Tachycardia, - see below.
094679 - ref SDS 0 UGVK Bloating PL 4, energy deficit PL 3, both feet
094680 - metatarsalgia PL 2. Left foot #1 PL 2 and #5 PL 0. Right foot #5 PL
094681 - 0; top of #3, #4, #5 PL 0 feels better today, than past 3 weeks. Took
094682 - 1 Naproxen 500 mg total today 2 for pain. Took 4 Magnesium complex
094683 - 300 mg pills - total today 8 - for energy, absorbing lactic acid, per
094684 - research on 200101 0701. ref SDS 21 QP6L Took 2 Turmeric Curcumin
094685 - 2250 mg - total today 4 - to reduce inflammation. Fortunate did not
094686 - feel extremely bad, as on 260806; esophagus was filling up, but able
094687 - to take 2 CoQ10 pills - total today 4 - to increase energy. Sips
094688 - softdrink purchased from Chev store for hydration and swallowing
094689 - nutrition - banana purchased at Lucky store enables swallowing
094690 - medication pills combined with bites of banana to slip through LESV
094691 - now contracted due to achalasia, pending dilation procedure scheduled
094692 - on 260821. Took Ubiquinol CoQ10 0.6 ml liquid for HDL and energy to
094693 - finish hike. Took Nuun electrolyte pill, all per above. ref SDS 0
094694 - GABE Was beginning to aspirate from build up above LESV. Continued
094695 - hike heading East back on original route Ygnacio Valley Road. Vomited
094696 - small about 10% of lunch. Turned around before reaching Michigan
094697 - Boulevard. Hiked back and turned left heading East again on Pine
094698 - Hollow. At mile 12, near Pennyslvania Boulevard turned around and
094699 - hiked back to Ygnacio. Turned left hiking West on Campus Drive.
094700 - Continued 1 mile West uphill 3% grade against wind 12 mph. The road
094701 - bends North. Turned left heading West on Ygnacio Valley road .50
094702 - mile. Temperature 85 became a factor lowering energy. Continued past
094703 - Crystal Ranch Road on Ygnacio Valley road .5 mile uphill 3% grade
094704 - against wind 15 mph - temp 85. Feeling better than last week,
094705 - continued past Cowell. At summit, hiked .5 mile back and turned left
094706 - going North on Cowell .25 mile downhill 5% grade. Continued .25 mile
094707 - with very narrow shoulder and no demarcation line separating vehicle
094708 - traffic. Turned left onto Treat for .25 mile; turned right on Cunio
094709 - and home. Ended hike mile 18 time 1352 temp 86, wind 15, bloating PL
094710 - 4, energy deficit 3, feet metatarsalgia PL 3, left foot #1 edge PL 2,
094711 - #5 edge PL 2, right foot #1 PL 0, #5 PL 2, top #3, #4 blistering PL 0,
094712 - burning sensation PL 0. EKG sinus with minor artifact, Kardia
094713 - reported HR 115 Tachycardia - see below. ref SDS 0 6G2W
094714 -
094715 -
094716 -
094717 -
094718 -
094719 -
094720 -
094721 -
094722 -
094723 -
094724 -
094725 -
094727 - ..
094728 - Kardia recorded HR 066 at 1125, Unclassified, looks mostly uniform
094729 - heart beat lengths with p-waves and no artifact, likely no AFL after
094730 - hiking 00 miles temp __ yesterday, per above, ref SDS 0 LX7W, and
094731 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely
094732 - arising from dysfuncational ANS following 6th ablation on 240611,
094733 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H Medical
094734 - history case study on 200101 0701. ref SDS 21 TSYT
094735 -
094736 -
094737 - pix: 950 450
094738 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260813-ecg-112500_mile_00_066_ucl_unfm.pdf
094739 -
094740 -
094741 -
094742 -
094744 - ..
094745 - Polar HR GPS study *** low accuracy GPS used *** in Concord.
094746 - California, hike 18 miles with max temperature 85, - Medical history
094747 - case study on 200101 0701. ref SDS 21 118K
094748 - ..
094749 - x
094750 - Reported Samsung GPS mileage...
094751 - x x A
094752 - x x x
094753 - 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
094754 - 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
094755 - 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
094756 - ** 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
094757 - 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
094758 - 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
094759 - 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
094760 - 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
094761 -
094762 -
094763 -
094764 - https://flow.polar.com/training/analysis/8397550047
094765 -
094767 - ..
094769 -
094770 -
094771 -
094772 -
094773 -
094775 - ..
094776 - EKG at mile 10 time 1053, HR 107 temp 73, wind 08; Kardia reported
094777 - Tachycardia... heart rate looks mostly uniform with minor artifact -
094778 - medical history case study on 200101 0701. ref SDS 21 TSYT
094779 -
094780 -
094781 - pix: 950 450
094782 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260811-ecg-105356_mile_10_107_tcy_unfm.pdf
094783 -
094784 -
094785 -
094787 - ..
094788 - End hike EKG at mile 18, time 1352 HR 115 temp 92, wind 16 - Kardia
094789 - reported Tachycardia... looks like sinus mostly uniform with minor
094790 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT
094791 -
094792 -
094793 - pix: 950 450
094794 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260811-ecg-135224_mile_18_115_tcy_unfm.pdf
094795 -
094796 -
094797 -
094798 -
094800 - ..
094801 - Post hike HR profile beginning 2058, aligns with indoor activity after
094802 - hiking 0 miles with temperature __, and showing no continuous
094803 - extended period steady elevated HR > 130, indicates no AFL, and no
094804 - possible atrial fibrillation, and after stopping Apixaban on 240711,
094805 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
094806 - patient history on 200101 0701. ref SDS 21 TSYT
094807 -
094809 - ..
094810 - 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
094811 - 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
094812 - 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
094813 - 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
094814 - 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
094815 - 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
094816 -
094817 -
094818 - https://flow.polar.com/training/analysis/8399380758
094820 - ..
094821 - HRV seems 10% 0 and 50% good and 40% poor overnight Polar HR report...
094822 -
094824 - 
094825 -
094826 -
094828 - ..
094829 - Breakfast - cream of wheat rasins peach
094830 - Lunch -
094831 - Dinner - macaroni cheese steak broccoli onion
094833 - ..
094834 - Vomiting: 0% - bloating PL 4
094835 -
094836 -
094837 -
094838 -
094839 -
094840 -
094841 -
094842 -
094843 -
094844 -
094845 -
094846 -
094847 -
094848 -
094849 -
094850 -
094851 -
094852 -
094853 -
094854 -
094855 -
094856 -
094857 -
094858 -
094859 -
094860 -
094861 -
094862 -
094863 -
094864 -
094866 - ..
094867 - H I K I N G
094868 - M E D I C A T I O N Miles Time V I T A L S
094869 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
094870 - ====================================================================================
094871 - Friday
094872 - 132. 260814 0710............................................. summary vitals, ref SDS 21 9HIW
094873 - 0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
094874 - 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
094875 - 0720....BP HR..................................................... 163 68 47 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
094876 - 0725....BP HR..................................................... 163 63 69
094877 - 0730....BP HR..................................................... 152 64 52
094878 - 0735....weight.................................... 186
094879 - 0825....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
094880 - 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
094881 - 0825... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
094882 - 0825....Avocado to increase HDL - 1/2 small
094883 - 0825....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)
094884 - paused 0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N
094885 - 0910....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0
094886 - 0910... 05 CoQ10 Ubiquinol Liquid - increases energy
094887 - 0910....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses
094888 - 0000...
094889 - ..
094890 - 0918....miles........... 25.0 32.0 389 675 minutes temp 77 wind 15 rain 0% light
094891 - 0000....................................................
094892 - 1242....mile 12 stopped EKG ... banana for potasium and swallow medication pills
094893 - 1242....Naproxen 500 mg took 1 pill
094894 - 1242... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
094895 - 1242... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
094896 - 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
094897 - 1242... Nuun Electrolytes Pill
094898 - 1242... 20 4060 CoQ10 Ubiquinol Liquid
094899 - 0000....................................................
094900 - 1659... Hike ends mile 25... ref SDS 0 7KSC
094901 - 0000...
094902 - 1712....weight.................................... 181 lost 5#
094903 - 1718....BP HR..................................................... 114 71 103
094904 - 1722....BP HR..................................................... 97 62 98
094905 - 1730....BP HR..................................................... 131 69 88
094906 - 0000...
094907 - ..
094908 - 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
094909 - 1830............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
094910 - 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
094911 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
094912 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
094913 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
094914 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
094915 - 0000... 10 60 Cyclobenzaprine sleep aid
094916 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
094917 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
094918 -
094920 - ..
094921 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
094922 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
094924 - ..
094925 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
094926 - pain no longer in toes down to heels. Symptoms have increased pins
094927 - and needles tingling in evening, when feet are elevated in reclining
094928 - chair. Restless legs has not occurred for awhile, maybe because
094929 - hiking declined considerably - may return since hiking increased OA
094930 - 260727.
094932 - ..
094933 - Pain medication limitations reported in case study on 200101 0701.
094934 - ref SDS 21 KS5O
094936 - ..
094937 - Swallowing - difficult - must eat very slowly, small bites, chew
094938 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,
094939 - aspiration.
094941 - ..
094942 - Reflux slept in bed 80%, and in recliner chair 20% to control
094943 - aspiration, vomited less.
094944 -
094945 -
094947 - ..
094948 - Summary... continuing difficulty swallowing nutrition, hydration and
094949 - medications, due to bloating with aspiration, that has been occurring
094950 - past week or so. Occurred less stopping at mile 12, for EKG, meds and
094951 - nutrition - was able keep down most meds. Had noticable arrythmia
094952 - episode immediately when hiking resumed on Ygnacio. After less than
094953 - 100 yards, cardio instantly spiked from HR 94 to HR 165 then
094954 - immediatly dropped to 119. This was not noticed at the time, similar
094955 - to hike on 260803, when AFL occurred for 10 minutes or so, also, on
094956 - Ygnacio, per above. ref SDS 0 DY1Q After about .25 mile stopped and
094957 - hiked back to Chevron for water to take electrolyte pill. Polar shows
094958 - on turning around cardio again spiked momentairly to HR 159; then
094959 - dropped to HR 114. At Chevron store just getting water from dispenser
094960 - HR 91 reported. Chevron offered a cup and water. Took the pill and
094961 - paused outside. Swallowed water to help disolve electrolyte pill for
094962 - 3 or so minutes. Hike resumed with normal HR aligned with elevation
094963 - changes to end of hike, see Polar GPS/HR data, below. ref SDS 0 7AXH
094964 -
094965 -
094967 - ..
094968 - Pain Location Pain Level % of Hike
094969 - ----------------------------------------- ---------- ---------
094970 - Stomach pain ischemic colitis bloating....... 4 40 bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating
094971 - 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
094972 - Hands cramping hurting - post hike........... 0 100 hands and thumbs cramping 2 hours after hike
094973 - Hands flinching post hike muscle spasms...... 0 100
094974 - Chest pain................................... 0 100 began about mile 8, taking Tramadol and Gabapenin mile 11helped
094975 - 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
094976 - Breathing ARDS............................... 0 100 difficulty breathing due to grade and length
094977 - Trapezius right side neck/shoulder........... 0 100 no recurrance today momentarily last half hike turning body and head left or right
094978 - Spine below neck lift left or right arm...... 0 100 did not occur today, but not a factor if head held steady
094979 - Neck turning head/chest left or right........ 0 100 episodes mile 18+ took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00
094980 - 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
094981 - Bicep tendon strain across elbow right arm... 0 100
094982 - 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
094983 - Hands sunburned itching rash................. 0 100 omitted sunblock today 260512, just forgot
094984 - Hip left..................................... 0 100 noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped
094985 - Back......................................... 0 100
094986 - Hip right.................................... 0 100
094987 - Shin splint pain both legs................... 0 100
094988 - Knee left skin lesions left side............. 0 100
094989 - 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
094990 - Knee left patalla...PRP 210705............... 0 100
094991 - Knee buckling left..PRP 191209.240108........ 0 100 began coming down Ygnacio Valley Road about mile 22 - intermittant
094992 - Knee left anterior cruciate ligament......... 0 100 same as knee buckling
094993 - Knee right cruciate ligament back of knee.... 0 100
094994 - 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
094995 - Achilees tendon right leg collaps/buckling... 0 100 did not recur today
094996 - Quadraceps both legs......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
094997 - Hamstring tendon left leg.PRP 210705......... 0 100
094998 - Hamstring left leg........................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
094999 - Hamstring right leg.......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
095000 - Calf left.................................... 0 100
095001 - Tailor's Bunion left foot.. PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
095002 - Tailor's Bunion right foot..PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
095003 - Plantar plate right foot..................... 0 100
095004 - Electric shocks middle 3 toes right foot..... 0 100 occurred intermittanly for minutes maybe twice
095005 - Metatarsalgia left foot...PRP 260403......... 0 100 PRP 260403 may be curing this injury
095006 - Metatarsalgia right foot..PRP 260403......... 0 100 PRP 260403 may be curing this injury
095007 - new Right foot fat pad below #3 & #4,,,,,,,,,,... 0 100 PRP 260403 may be curing this injury
095008 - 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
095009 - Planarfaciitis right foot..240213............. 0 100
095010 - Feet bottom soles hurt socks worn out........ 0 100
095011 - 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
095012 - Ankle left achilles heel on 220416........... 0 100 left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today
095013 - Ankle right pain on 200407 and 231203........ 0 100 xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal
095014 - Foot right possible fracture 200917......... 0 100 CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831
095015 - Hallux Valgus right foot..................... 0 100 seems stable despite hiking therapeutic miles
095016 - Cut big right foot........................... 0 100 Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316
095017 - 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.
095018 - Callus big toe right foot...PRP 210705....... 0 100 peeled large callus just before hike - stable no pain for multiple months
095019 - Blister below big toe right foot............. 0 100
095020 - Blister below big toe left foot.............. 0 100 new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725
095021 - 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
095022 - 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
095023 - Blister forefoot toes right foot............. 0 100
095024 - 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
095025 - 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
095026 - 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
095027 - 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,
095028 - Blister ring toe left foot.new 240602........ 0 100 seems healed today on 240626
095029 - 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
095030 - 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
095031 - 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
095032 - Blister top foot at toe line left foot....... 0 100
095033 - 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
095034 - 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
095035 - Blister top long and middle toes left foot... 0 100
095036 - 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
095037 - 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
095038 - Diabetes toes both feet inflamed, itch....... 0 100 Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms
095039 - 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
095040 - Peripheral neruopathy top left hand.......... 0 100 worse after 2 miles and calmed by mile 8
095041 - Peripheral neruopathy top right hand......... 0 100 worse after 2 miles and calmed by mile 8
095042 - Veering left................................. 0 100 veering left about mile 15 last 5 miles
095043 - Veering right ............................... 0 100
095044 - Fall......................................... 0 100
095045 - Restless legs................................ 0 100
095046 - AFL...5th ablation on 231214................. 0 100 Polar shows no AFL entire hike
095047 - 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
095048 - Wasted - very fatigued....................... 2 20 last 4 miles heat reached 92, had to end hike at 21
095049 - Hiker's rash vasculitis.see 210618........... 0 100 after hike quads show heat rash
095050 -
095051 -
095053 - ..
095054 - Shoes see case study on 200101 0701. ref SDS 21 SO4L Wore new Brooks
095055 - Glycerin 23 shoes size 11.5 width 4E, received 260730. Very good hike
095056 - again mostly PL 0. After 7 hikes, getting pressure top metatarsals
095057 - mostly right foot. Callus left foot #1 returning.
095059 - ..
095060 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin
095061 - with more padding to transfer load from forefeet to instep arch,
095062 - received from Doctor Hewitson at VA Podiatry on 260727 0900.
095063 - ref SDS C6 LJHN
095065 - ..
095066 - Callus Injuries - in recent weeks, have peeled large sections of
095067 - callus on left foot #1 edge and bottom of toe, completed on 260725,
095068 - per above. ref SDS 0 TI2H Yesterday, Doctor Tang and his assistant,
095069 - John, in VA Podiatry maintained wounds from these feet callus removals
095070 - yesterday on 260730 0900. ref SDS C7 5A4I Callus injuries recurring
095071 - left foot #1 including wrapping beneath the toe, and callus left foot
095072 - #5, and same on right foot, but possibly more slowly comparitively
095073 - favorable result of better shoes and insets supported by expert care.
095074 - Good news is that while the injury expresses pain in moments, the
095075 - foot, shoe, insert and socks somehow make adjustment that ends pain,
095076 - i.e., it just goes away. If this is repeated with hiking restored to
095077 - therapeutic levels in days, weeks, months ahead, then HDL 51 reported
095078 - on 260727, should recover > 60, along with EPCs and telomeres that
095079 - maintain good health, including recovery from dysfunctional ANS.
095081 - ..
095082 - Socks see case study on 200101 0701. ref SDS 21 0S6N Wore 2 pair
095083 - dual-ply Wrightsocks socks.
095084 -
095085 -
095087 - ..
095088 - Concord 25 mile route - Did not take Glucosamine Chondroitin for OA
095089 - protection, mainly left knee treated with PRP intra articular
095090 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,
095091 - and also left hip, which flares few times a month, but not for a month
095092 - or more. Today, left knee flared PL 3 20%, left hip flared PL 2 10%,
095093 - so likely should have taken GC - take next hike. Took 1 Naproxen 500
095094 - mg for pain management - cut in half to aid swallowing, there is no
095095 - metatarsalgia pain in feet starting hike today, and both feet #1 and
095096 - #5 calluses both PL 0 - were shaved down by Doctor Tang in VAMC
095097 - Podiatry on 260730 0900, ref SDS C7 5H6F; left foot #1 #5 calluses
095098 - growing again, possibly more slowly. Took 4 Magnesium Complex 300 mg
095099 - pills for cellular energy, absorbing lactic acid, and reducing
095100 - inflammation, all to enable hiking that increases HDL and EPCs which
095101 - together regress plaque in blood vessel - see research on 200101 0701,
095102 - ref SDS 21 QP6L Took 2 CoQ10 capsules for energy - CoQ10 is an enzyme
095103 - produced in the body that supports an electron transport chain (ETC)
095104 - giving human cells energy, and protects heart tissue from harmful free
095105 - radicals and stress - see case study on 200101 0701. ref SDS 21 136K
095106 - Took 2 Turmeric Curcumin 2250 mg pills to resolve inflammation,
095107 - essential for HDL to rise - see again case study on 200101 0701.
095108 - ref SDS 21 NKSY Swallowed pills separately (1 at a time) and whole
095109 - combined with small amount avocado, mayonaise, peanut butter and
095110 - margarine - pills slip through LESV easier when swallowed combined
095111 - with chewed up food in mouth. About 20 minutes later, after dressing
095112 - for hike, took liquid Turmeric Curcumin and Ubiquinol CoQ10 per above.
095113 - ref SDS 0 7URP No breakfast reduces bloating feeling starting hike
095114 - from ischemic colitis caused by taking statins and other drugs, also
095115 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -
095116 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H
095117 - Did not take backpack to carry stuff - good to build conditioning for
095118 - Half Dome - because extra weight increases pressure that causes feet
095119 - injuries, e.g., calluses. Did not feel well starting hike - increased
095120 - bloating and within .25 mile left foot #1 PL 5. Did mile loop around
095121 - the block to start hike, which identifies bloating and feet wound
095122 - issues that can be treated, before problems arise miles from home -
095123 - bloating and left foot calmed. Hiked Cuneo .25 mile and turned left,
095124 - onto Treat - was not weak and slow this morning. Steady hiking caused
095125 - HDL 65 on 260302, but pausing lowered to HDL 51 last lab on 260727;
095126 - daily hiking since then elevated back to HDL 55 on 260806 0901.
095127 - ref SDS C8 UE6H Breathed through nose entire hike with no dyspnea,
095128 - indicating conditioning has sustained, despite on and mostly off
095129 - hiking last few months, albeit have not been hiking Crystal Ranch
095130 - Road, resulting in dyspnea hiking 1 mile uphill to Cliff House and on
095131 - Point Lobos returning to hospital, per above on 260727. ref SDS 0 9SAH
095132 - Started hike in morning OA 0918, with temperature at 63, and reached
095133 - 77. East wind 15 mph and mostly 12 mph. Much cooler temperature
095134 - enabled hiking nearly 40% longer distance today. Continued East on
095135 - Treat .5 miles. Turned right hiking South on asphalt shoulder of
095136 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%
095137 - uphill, and very light traffic. Maintained normal pace 15 minute
095138 - miles. Hiked across Newhall Community park and back today. Continued
095139 - on Turtle Creek Road uphill 4% grade. At end of Turtle Creek Road
095140 - turned left onto Ayers hiking East .75 miles on asphalt road shoulder.
095141 - At mile 5, turned right onto Clayton Road hiking South .5 miles on
095142 - asphalt pavement in parking lots of shopping complex. Stopped at
095143 - Lucky store to buy banana with potassium that complements meds for
095144 - energy, and aids swallowing meds to slip through tightening LESV,
095145 - pending EGD dilation on 260821. Crossed Alberto Way at traffic light
095146 - and continued on concrete sidewalk .5 miles. Energy maintained - no
095147 - need to stop at Mountain Mike's Pizza restaurant to take meds for
095148 - energy deficit caused by dysfunctional ANS. Turned right going West
095149 - on Ygnacio Valley Road still using concrete sidewalk .5 miles.
095150 - Continued past Park Highlands Road at traffic stoplight and heading
095151 - West .25 miles on very narrow asphalt shoulder next to high risk heavy
095152 - morning commute traffic. Crossed to South side Ygnacio Valley Road
095153 - hiking on wider shoulder past stoplight at Michigan Boulevard. Hiked
095154 - another .25 miles to Chevron gas station and store. At mile 7, turned
095155 - left onto Pine Hollow, - hiked East 2.5 miles. At end of Pine Hollow
095156 - turned around and hiked back. Turned right onto Ygnacio Valley Road.
095157 - Stopped at Chevron gas station store mile 12, time 1234, temp 72 and
095158 - wind 12 mph; EKG looks mostly uniform with no artifact. Kardia
095159 - reported HR 117 Tachycardia, - see below. ref SDS 0 V3G7 Bloating PL
095160 - 3, energy deficit PL 2, both feet metatarsalgia PL 2. Left foot #1 PL
095161 - 2 and #5 PL 2. Right foot #5 PL 2; top of #3, #4, #5 PL 0 still feels
095162 - better today, than past 3 weeks. Took 1 Naproxen 500 mg total today 2
095163 - for pain. Took 4 Magnesium complex 300 mg pills - total today 8 Took
095164 - 2 Turmeric Curcumin 2250 mg - total today 4. Fortunate did not feel
095165 - extremely bad, as on 260806; esophagus was filling up, but able to
095166 - take 2 CoQ10 pills - total today 4 - to increase energy. Sips
095167 - softdrink purchased from Chev store for hydration and swallowing
095168 - nutrition - banana purchased at Lucky store enables swallowing
095169 - medication pills combined with bites of banana to slip through LESV
095170 - now contracted due to achalasia, pending dilation procedure scheduled
095171 - on 260821. Took Ubiquinol CoQ10 0.6 ml liquid for HDL and energy to
095172 - finish hike. Took Nuun electrolyte pill, all per above. ref SDS 0
095173 - NK87 Was beginning to aspirate from build up above LESV. Continued
095174 - hike heading East on Pine Hollow again. Polar reports after standing
095175 - up and walking less than 100 yards, cardio instantly spiked from HR 94
095176 - to HR 165 then immediatly dropped to 119. This was not noticed at the
095177 - time, similar to hike on 260803, when AFL occurred for 10 minutes or
095178 - so on Ygnacio Valley Road, per above. ref SDS 0 DY1Q After about .25
095179 - mile stopped and hiked back to Chevron for water to take electrolyte
095180 - pill. Polar shows on stopping and turning around cardio again spiked
095181 - momentairly to HR 159; on heading back this dropped to HR 114. At
095182 - Chevron store just getting water from dispenser HR 91 reported.
095183 - Chevron offered a cup and water. Took the pill and paused outside.
095184 - Swallowed water to help disolve electrolyte pill for 3 or so minutes.
095185 - Hike resumed with normal HR aligned with elevation changes to end of
095186 - hike. On leaving Chevron turned onto Pine Hollow .25 mile, then
095187 - turned around and went back, and turned left heading West on Campus
095188 - Drive. Continued 1 mile West uphill 3% grade against wind 15 mph.
095189 - The road bends North. Turned left heading West on Ygnacio Valley road
095190 - .50 mile. Temperature < 80 became a factor that did not reduce hiking
095191 - energy. At Crystal Ranch Road, turned around and hiked back. Turned
095192 - onto Campus Drive again and hiked uphill 4% grade .3 mile. Reached
095193 - Visitor Parking California State University East Bay Concord Campus -
095194 - mile 15. Hiked 3 loops around main buildings - used exercise
095195 - equipment at back of buildings to do 20 partial pullups and pushups
095196 - each pass. Back at Visitor Parking mile 17, hiked loops through
095197 - Faculty and Student parking lots. At mile 21, left the college
095198 - heading North downhill on Campus Drive. Turned left onto Ygnacio
095199 - Valley Road. Hiked West on flat grade .5 miles. Continued past
095200 - Crystal Ranch Road heading West on Ygnacio Valley road .5 mile uphill
095201 - 3% grade against wind 15 mph - temp 77. Feeling well, continued on up
095202 - to summit. Turned around going .5 mile back. Turned left onto Cowell
095203 - going .25 mile downhill 5% grade. Continued .25 mile flat grade, then
095204 - .5 mile downhill 3% grade with no shoulder separating narrow commute
095205 - traffic lane. Turned left onto Treat .25 mile; turned right on Cunio.
095206 - Went .25 mile North and turned around at Kaski; back .25 mile and
095207 - home. Ended hike mile 25 time 1659 temp 75, wind 13, bloating PL 3,
095208 - energy deficit 0, feet metatarsalgia PL 3, left foot #1 edge PL 3, #5
095209 - edge PL 3, right foot #1 PL 0, #5 PL 2, top #3, #4 blistering PL 2,
095210 - burning sensation PL 0. EKG sinus with no artifact, Kardia reported
095211 - HR 120 Tachycardia - see below. ref SDS 0 7KSC
095212 -
095213 -
095214 -
095215 -
095216 -
095217 -
095218 -
095219 -
095220 -
095221 -
095222 -
095223 -
095224 -
095226 - ..
095227 - Kardia recorded HR 047 at 0747, Bradycardia, looks mostly uniform
095228 - heart beat lengths with p-waves and no artifact, likely no AFL after
095229 - hiking 00 miles temp __ yesterday, per above, ref SDS 0 LX7W, and
095230 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely
095231 - arising from dysfuncational ANS following 6th ablation on 240611,
095232 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H Medical
095233 - history case study on 200101 0701. ref SDS 21 TSYT
095234 -
095235 -
095236 - pix: 950 450
095237 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260814-ecg-074722_mile_00_047_bdy_unfm.pdf
095238 -
095239 -
095240 -
095241 -
095243 - ..
095244 - Polar HR GPS study *** low accuracy GPS used *** in Concord.
095245 - California, hike 25 miles with max temperature 77, - Medical history
095246 - case study on 200101 0701. ref SDS 21 118K
095247 - ..
095248 - x
095249 - Reported Samsung GPS mileage...
095250 - x x A
095251 - x x x
095252 - 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
095253 - 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
095254 - 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
095255 - ** 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
095256 - 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
095257 - 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
095258 - 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
095259 - 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
095260 -
095261 -
095262 -
095263 - https://flow.polar.com/training/analysis/8399662704
095264 -
095266 - ..
095268 - 
095269 -
095270 -
095271 -
095272 -
095274 - ..
095275 - EKG at mile 12 time 1242, HR 117 temp 72, wind 12; Kardia reported
095276 - Tachycardia... heart rate looks mostly uniform with no artifact -
095277 - medical history case study on 200101 0701. ref SDS 21 TSYT
095278 -
095279 -
095280 - pix: 950 450
095281 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260814-ecg-124234_mile_12_117_tcy_unfm.pdf
095282 -
095283 -
095284 -
095286 - ..
095287 - End hike EKG at mile 25, time 1659 HR 120 temp 75, wind 13 - Kardia
095288 - reported Tachycardia... looks like sinus mostly uniform with no
095289 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT
095290 -
095291 -
095292 - pix: 950 450
095293 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260814-ecg-165921_mile_25_120_tcy_unfm.pdf
095294 -
095295 -
095296 -
095297 -
095299 - ..
095300 - Post hike HR profile beginning 2142, aligns with indoor activity after
095301 - hiking 25 miles with temperature 77, and showing no continuous
095302 - extended period steady elevated HR > 130, indicates no AFL, and no
095303 - possible atrial fibrillation, and after stopping Apixaban on 240711,
095304 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
095305 - patient history on 200101 0701. ref SDS 21 TSYT
095306 -
095308 - ..
095309 - 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
095310 - 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
095311 - 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
095312 - 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
095313 - 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
095314 - 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
095315 -
095316 -
095317 - https://flow.polar.com/training/analysis/8400104855
095319 - ..
095320 - HRV seems 20% 0 and 40% good and 40% poor overnight Polar HR report...
095321 -
095323 - 
095324 -
095325 -
095327 - ..
095328 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds
095329 - Lunch - banana with hiking meds - HR elevated > 160 twice after lunch
095330 - Dinner - eggs macaroni cheese steak broccoli onion
095332 - ..
095333 - Vomiting: 0% - bloating PL 4
095334 -
095335 -
095336 -
095337 -
095338 -
095339 -
095340 -
095341 -
095342 -
095343 -
095344 -
095345 -
095346 -
095347 -
095348 -
095349 -
095350 -
095351 -
095352 -
095353 -
095354 -
095355 -
095356 -
095357 -
095358 -
095359 -
095360 -
095361 -
095362 -
095363 -
095365 - ..
095366 - H I K I N G
095367 - M E D I C A T I O N Miles Time V I T A L S
095368 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
095369 - ====================================================================================
095370 - Saturday
095371 - 132. 260815 0715............................................. summary vitals, ref SDS 21 9HIW
095372 - 0715....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
095373 - 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
095374 - 0720....BP HR..................................................... 138 66 52 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
095375 - 0725....BP HR..................................................... 162 69 44
095376 - 0730....BP HR..................................................... 163 77 63
095377 - 0735....weight.................................... 186
095378 - 0825....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
095379 - 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
095380 - 0000...
095381 - ..
095382 - 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
095383 - 1830............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
095384 - 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
095385 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
095386 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
095387 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
095388 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
095389 - 0000... 10 60 Cyclobenzaprine sleep aid
095390 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
095391 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
095392 -
095394 - ..
095395 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
095396 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
095398 - ..
095399 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
095400 - pain no longer in toes down to heels. Symptoms have increased pins
095401 - and needles tingling in evening, when feet are elevated in reclining
095402 - chair. Restless legs has not occurred for awhile, maybe because
095403 - hiking declined considerably - may return since hiking increased OA
095404 - 260727.
095406 - ..
095407 - Pain medication limitations reported in case study on 200101 0701.
095408 - ref SDS 21 KS5O
095410 - ..
095411 - Swallowing - difficult - must eat very slowly, small bites, chew
095412 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,
095413 - aspiration.
095415 - ..
095416 - Reflux slept in bed 40%, and in recliner chair 60% to control
095417 - aspiration, vomited less.
095418 -
095419 -
095420 -
095422 - ..
095423 - Kardia recorded HR 070 at 1948, Unclassified, looks mostly uniform
095424 - heart beat lengths with p-waves and no artifact, likely no AFL after
095425 - hiking 00 miles temp __ yesterday, per above, ref SDS 0 7URP, and
095426 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely
095427 - arising from dysfuncational ANS following 6th ablation on 240611,
095428 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H Medical
095429 - history case study on 200101 0701. ref SDS 21 TSYT
095430 -
095431 -
095432 - pix: 950 450
095433 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260815-ecg-194814_mile_00_070_ucl_unfm.pdf
095434 -
095435 -
095437 - ..
095438 - Post hike HR profile beginning 1945, aligns with indoor activity after
095439 - hiking 00 miles with temperature __, and showing no continuous
095440 - extended period steady elevated HR > 130, indicates no AFL, and no
095441 - possible atrial fibrillation, and after stopping Apixaban on 240711,
095442 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
095443 - patient history on 200101 0701. ref SDS 21 TSYT
095444 -
095446 - ..
095447 - 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
095448 - 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
095449 - 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
095450 - 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
095451 - 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
095452 - 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
095453 -
095454 -
095455 - https://flow.polar.com/training/analysis/8400818178
095457 - ..
095458 - HRV seems 10% 0 and 30% good and 60% poor overnight Polar HR report...
095459 -
095461 - 
095462 -
095463 -
095465 - ..
095466 - Breakfast - eggs toast
095467 - Lunch - hamburger cottage cheese tomato onion - few bites
095468 - Dinner - macaroni cheese steak broccoli onion
095470 - ..
095471 - Vomiting: 0% - bloating PL 4
095472 -
095473 -
095474 -
095475 -
095476 -
095477 -
095478 -
095479 -
095480 -
095481 -
095482 -
095483 -
095484 -
095485 -
095486 -
095487 -
095488 -
095489 -
095490 -
095491 -
095492 -
095493 -
095494 -
095495 -
095496 -
095497 -
095498 -
095499 -
095500 -
095501 -
095503 - ..
095504 - H I K I N G
095505 - M E D I C A T I O N Miles Time V I T A L S
095506 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
095507 - ====================================================================================
095508 - Sunday
095509 - 132. 260816 0705............................................. summary vitals, ref SDS 21 9HIW
095510 - 0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
095511 - 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
095512 - 0720....BP HR..................................................... 166 75 73 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
095513 - 0725....BP HR..................................................... 161 64 57
095514 - 0730....BP HR..................................................... 152 71 48
095515 - 0735....weight.................................... 188
095516 - 0000....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
095517 - 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
095518 - 0000... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
095519 - 0000....Avocado to increase HDL - 1/2 small
095520 - 0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)
095521 - paused 0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N
095522 - 0000....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0
095523 - 0000... 05 CoQ10 Ubiquinol Liquid - increases energy
095524 - 0000....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses
095525 - 0000...
095526 - ..
095527 - 0918....miles........... 25.0 32.0 389 675 minutes temp 77 wind 15 rain 0% light
095528 - 0000....................................................
095529 - 1242....mile 10 stopped EKG ... banana for potasium and swallow medication pills
095530 - 1242....Naproxen 500 mg took 1 pill
095531 - 1242... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
095532 - 1242... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
095533 - 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
095534 - 1242... Nuun Electrolytes Pill
095535 - 1242... 20 4060 CoQ10 Ubiquinol Liquid
095536 - 0000....................................................
095537 - 1659... Hike ends mile 25... ref SDS 0 7KSC
095538 - 0000...
095539 - 1712....weight.................................... 181 lost 5#
095540 - 1718....BP HR..................................................... 114 71 103
095541 - 1722....BP HR..................................................... 97 62 98
095542 - 1730....BP HR..................................................... 131 69 88
095543 - 0000...
095544 - ..
095545 - 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
095546 - 1830............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
095547 - 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
095548 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
095549 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
095550 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
095551 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
095552 - 0000... 10 60 Cyclobenzaprine sleep aid
095553 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
095554 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
095555 -
095557 - ..
095558 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
095559 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
095561 - ..
095562 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
095563 - pain no longer in toes down to heels. Symptoms have increased pins
095564 - and needles tingling in evening, when feet are elevated in reclining
095565 - chair. Restless legs has not occurred for awhile, maybe because
095566 - hiking declined considerably - may return since hiking increased OA
095567 - 260727.
095569 - ..
095570 - Pain medication limitations reported in case study on 200101 0701.
095571 - ref SDS 21 KS5O
095573 - ..
095574 - Swallowing - difficult - must eat very slowly, small bites, chew
095575 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,
095576 - aspiration.
095578 - ..
095579 - Reflux slept in bed 40%, and in recliner chair 60% to control
095580 - aspiration, vomited less.
095581 -
095582 -
095584 - ..
095585 - Summary... continuing difficulty swallowing nutrition, hydration and
095586 - medications, due to bloating with aspiration, that has been occurring
095587 - past week. Occurred less stopping at mile 10, for EKG, meds and
095588 - nutrition - was able keep down most meds. PL 2 most of hike wearing
095589 - new Brooks Glycerin 23 shoes received on 260730. This morning, before
095590 - hike took 1 Naproxen 500 mg capsule; at mile 10 needed only 1
095591 - Naproxen. Heat in mid 80s was less factor limiting hike
095592 -
095593 -
095595 - ..
095596 - Pain Location Pain Level % of Hike
095597 - ----------------------------------------- ---------- ---------
095598 - Stomach pain ischemic colitis bloating....... 4 40 bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating
095599 - 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
095600 - Hands cramping hurting - post hike........... 0 100 hands and thumbs cramping 2 hours after hike
095601 - Hands flinching post hike muscle spasms...... 0 100
095602 - Chest pain................................... 0 100 began about mile 8, taking Tramadol and Gabapenin mile 11helped
095603 - 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
095604 - Breathing ARDS............................... 0 100 difficulty breathing due to grade and length
095605 - Trapezius right side neck/shoulder........... 0 100 no recurrance today momentarily last half hike turning body and head left or right
095606 - Spine below neck lift left or right arm...... 0 100 did not occur today, but not a factor if head held steady
095607 - Neck turning head/chest left or right........ 0 100 episodes mile 18+ took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00
095608 - 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
095609 - Bicep tendon strain across elbow right arm... 0 100
095610 - 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
095611 - Hands sunburned itching rash................. 0 100 omitted sunblock today 260512, just forgot
095612 - Hip left..................................... 0 100 noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped
095613 - Back......................................... 0 100
095614 - Hip right.................................... 0 100
095615 - Shin splint pain both legs................... 0 100
095616 - Knee left skin lesions left side............. 0 100
095617 - 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
095618 - Knee left patalla...PRP 210705............... 0 100
095619 - Knee buckling left..PRP 191209.240108........ 0 100 began coming down Ygnacio Valley Road about mile 22 - intermittant
095620 - Knee left anterior cruciate ligament......... 0 100 same as knee buckling
095621 - Knee right cruciate ligament back of knee.... 0 100
095622 - 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
095623 - Achilees tendon right leg collaps/buckling... 0 100 did not recur today
095624 - Quadraceps both legs......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
095625 - Hamstring tendon left leg.PRP 210705......... 0 100
095626 - Hamstring left leg........................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
095627 - Hamstring right leg.......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
095628 - Calf left.................................... 0 100
095629 - Tailor's Bunion left foot.. PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
095630 - Tailor's Bunion right foot..PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
095631 - Plantar plate right foot..................... 0 100
095632 - Electric shocks middle 3 toes right foot..... 0 100 occurred intermittanly for minutes maybe twice
095633 - Metatarsalgia left foot...PRP 260403......... 0 100 PRP 260403 may be curing this injury
095634 - Metatarsalgia right foot..PRP 260403......... 0 100 PRP 260403 may be curing this injury
095635 - new Right foot fat pad below #3 & #4,,,,,,,,,,... 0 100 PRP 260403 may be curing this injury
095636 - 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
095637 - Planarfaciitis right foot..240213............. 0 100
095638 - Feet bottom soles hurt socks worn out........ 0 100
095639 - 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
095640 - Ankle left achilles heel on 220416........... 0 100 left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today
095641 - Ankle right pain on 200407 and 231203........ 0 100 xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal
095642 - Foot right possible fracture 200917......... 0 100 CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831
095643 - Hallux Valgus right foot..................... 0 100 seems stable despite hiking therapeutic miles
095644 - Cut big right foot........................... 0 100 Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316
095645 - 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.
095646 - Callus big toe right foot...PRP 210705....... 0 100 peeled large callus just before hike - stable no pain for multiple months
095647 - Blister below big toe right foot............. 0 100
095648 - Blister below big toe left foot.............. 0 100 new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725
095649 - 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
095650 - 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
095651 - Blister forefoot toes right foot............. 0 100
095652 - 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
095653 - 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
095654 - 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
095655 - 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,
095656 - Blister ring toe left foot.new 240602........ 0 100 seems healed today on 240626
095657 - 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
095658 - 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
095659 - 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
095660 - Blister top foot at toe line left foot....... 0 100
095661 - 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
095662 - 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
095663 - Blister top long and middle toes left foot... 0 100
095664 - 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
095665 - 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
095666 - Diabetes toes both feet inflamed, itch....... 0 100 Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms
095667 - 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
095668 - Peripheral neruopathy top left hand.......... 0 100 worse after 2 miles and calmed by mile 8
095669 - Peripheral neruopathy top right hand......... 0 100 worse after 2 miles and calmed by mile 8
095670 - Veering left................................. 0 100 veering left about mile 15 last 5 miles
095671 - Veering right ............................... 0 100
095672 - Fall......................................... 0 100
095673 - Restless legs................................ 0 100
095674 - AFL...5th ablation on 231214................. 0 100 Polar shows no AFL entire hike
095675 - 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
095676 - Wasted - very fatigued....................... 2 20 last 4 miles heat reached 92, had to end hike at 21
095677 - Hiker's rash vasculitis.see 210618........... 0 100 after hike quads show heat rash
095678 -
095679 -
095681 - ..
095682 - Shoes see case study on 200101 0701. ref SDS 21 SO4L Wore new Brooks
095683 - Glycerin 23 shoes size 11.5 width 4E, received 260730. Very good hike
095684 - again mostly PL 0. After 7 hikes, getting pressure top metatarsals
095685 - mostly right foot. Callus left foot #1 returning.
095687 - ..
095688 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin
095689 - with more padding to transfer load from forefeet to instep arch,
095690 - received from Doctor Hewitson at VA Podiatry on 260727 0900.
095691 - ref SDS C6 LJHN
095693 - ..
095694 - Callus Injuries - in recent weeks, have peeled large sections of
095695 - callus on left foot #1 edge and bottom of toe, completed on 260725,
095696 - per above. ref SDS 0 TI2H Yesterday, Doctor Tang and his assistant,
095697 - John, in VA Podiatry maintained wounds from these feet callus removals
095698 - yesterday on 260730 0900. ref SDS C7 5A4I Callus injuries recurring
095699 - left foot #1 including wrapping beneath the toe, and callus left foot
095700 - #5, and same on right foot, but possibly more slowly comparitively
095701 - favorable result of better shoes and insets supported by expert care.
095702 - Good news is that while the injury expresses pain in moments, the
095703 - foot, shoe, insert and socks somehow make adjustment that ends pain,
095704 - i.e., it just goes away. If this is repeated with hiking restored to
095705 - therapeutic levels in days, weeks, months ahead, then HDL 51 reported
095706 - on 260727, should recover > 60, along with EPCs and telomeres that
095707 - maintain good health, including recovery from dysfunctional ANS.
095709 - ..
095710 - Socks see case study on 200101 0701. ref SDS 21 0S6N Wore 2 pair
095711 - dual-ply Wrightsocks socks.
095712 -
095713 -
095715 - ..
095716 - Concord 25 mile route - Did not take Glucosamine Chondroitin for OA
095717 - protection, mainly left knee treated with PRP intra articular
095718 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,
095719 - and also left hip, which flares few times a month, but not for a month
095720 - or more. Today, left knee flared PL 3 20%, left hip flared PL 2 10%,
095721 - so likely should have taken GC - take next hike. Took 1 Naproxen 500
095722 - mg for pain management - cut in half to aid swallowing, there is no
095723 - metatarsalgia pain in feet starting hike today, and both feet #1 and
095724 - #5 calluses both PL 0 - were shaved down by Doctor Tang in VAMC
095725 - Podiatry on 260730 0900, ref SDS C7 5H6F; left foot #1 #5 calluses
095726 - growing again, possibly more slowly. Took 4 Magnesium Complex 300 mg
095727 - pills for cellular energy, absorbing lactic acid, and reducing
095728 - inflammation, all to enable hiking that increases HDL and EPCs which
095729 - together regress plaque in blood vessel - see research on 200101 0701,
095730 - ref SDS 21 QP6L Took 2 CoQ10 capsules for energy - CoQ10 is an enzyme
095731 - produced in the body that supports an electron transport chain (ETC)
095732 - giving human cells energy, and protects heart tissue from harmful free
095733 - radicals and stress - see case study on 200101 0701. ref SDS 21 136K
095734 - Took 2 Turmeric Curcumin 2250 mg pills to resolve inflammation,
095735 - essential for HDL to rise - see again case study on 200101 0701.
095736 - ref SDS 21 NKSY Swallowed pills separately (1 at a time) and whole
095737 - combined with small amount avocado, mayonaise, peanut butter and
095738 - margarine - pills slip through LESV easier when swallowed combined
095739 - with chewed up food in mouth. About 20 minutes later, after dressing
095740 - for hike, took liquid Turmeric Curcumin and Ubiquinol CoQ10 per above.
095741 - ref SDS 0 7URP No breakfast reduces bloating feeling starting hike
095742 - from ischemic colitis caused by taking statins and other drugs, also
095743 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -
095744 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H
095745 - Did not take backpack to carry stuff - good to build conditioning for
095746 - Half Dome - because extra weight increases pressure that causes feet
095747 - injuries, e.g., calluses. Did not feel well starting hike - increased
095748 - bloating and within .25 mile left foot #1 PL 5. Did mile loop around
095749 - the block to start hike, which identifies bloating and feet wound
095750 - issues that can be treated, before problems arise miles from home -
095751 - bloating and left foot calmed. Hiked Cuneo .25 mile and turned left,
095752 - onto Treat - was not weak and slow this morning. Steady hiking caused
095753 - HDL 65 on 260302, but pausing lowered to HDL 51 last lab on 260727;
095754 - daily hiking since then elevated back to HDL 55 on 260806 0901.
095755 - ref SDS C8 UE6H Breathed through nose entire hike with no dyspnea,
095756 - indicating conditioning has sustained, despite on and mostly off
095757 - hiking last few months, albeit have not been hiking Crystal Ranch
095758 - Road, resulting in dyspnea hiking 1 mile uphill to Cliff House and on
095759 - Point Lobos returning to hospital, per above on 260727. ref SDS 0 9SAH
095760 - Started hike in morning OA 0918, with temperature at 63, and reached
095761 - 77. East wind 15 mph and mostly 12 mph. Much cooler temperature
095762 - enabled hiking nearly 40% longer distance today. Continued East on
095763 - Treat .5 miles. Turned right hiking South on asphalt shoulder of
095764 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%
095765 - uphill, and very light traffic. Maintained normal pace 15 minute
095766 - miles. Hiked across Newhall Community park and back today. Continued
095767 - on Turtle Creek Road uphill 4% grade. At end of Turtle Creek Road
095768 - turned left onto Ayers hiking East .75 miles on asphalt road shoulder.
095769 - At mile 5, turned right onto Clayton Road hiking South .5 miles on
095770 - asphalt pavement in parking lots of shopping complex. Stopped at
095771 - Lucky store to buy banana with potassium that complements meds for
095772 - energy, and aids swallowing meds to slip through tightening LESV,
095773 - pending EGD dilation on 260821. Crossed Alberto Way at traffic light
095774 - and continued on concrete sidewalk .5 miles. Energy maintained - no
095775 - need to stop at Mountain Mike's Pizza restaurant to take meds for
095776 - energy deficit caused by dysfunctional ANS. Turned right going West
095777 - on Ygnacio Valley Road still using concrete sidewalk .5 miles.
095778 - Continued past Park Highlands Road at traffic stoplight and heading
095779 - West .25 miles on very narrow asphalt shoulder next to high risk heavy
095780 - morning commute traffic. Crossed to South side Ygnacio Valley Road
095781 - hiking on wider shoulder past stoplight at Michigan Boulevard. Hiked
095782 - another .25 miles to Chevron gas station and store. At mile 7, turned
095783 - left onto Pine Hollow, - hiked East 2.5 miles. At end of Pine Hollow
095784 - turned around and hiked back. Turned right onto Ygnacio Valley Road.
095785 - Stopped at Chevron gas station store mile 12, time 1234, temp 72 and
095786 - wind 12 mph; EKG looks mostly uniform with no artifact. Kardia
095787 - reported HR 117 Tachycardia, - see below. ref SDS 0 V3G7 Bloating PL
095788 - 3, energy deficit PL 2, both feet metatarsalgia PL 2. Left foot #1 PL
095789 - 2 and #5 PL 2. Right foot #5 PL 2; top of #3, #4, #5 PL 0 still feels
095790 - better today, than past 3 weeks. Took 1 Naproxen 500 mg total today 2
095791 - for pain. Took 4 Magnesium complex 300 mg pills - total today 8 Took
095792 - 2 Turmeric Curcumin 2250 mg - total today 4. Fortunate did not feel
095793 - extremely bad, as on 260806; esophagus was filling up, but able to
095794 - take 2 CoQ10 pills - total today 4 - to increase energy. Sips
095795 - softdrink purchased from Chev store for hydration and swallowing
095796 - nutrition - banana purchased at Lucky store enables swallowing
095797 - medication pills combined with bites of banana to slip through LESV
095798 - now contracted due to achalasia, pending dilation procedure scheduled
095799 - on 260821. Took Ubiquinol CoQ10 0.6 ml liquid for HDL and energy to
095800 - finish hike. Took Nuun electrolyte pill, all per above. ref SDS 0
095801 - NK87 Was beginning to aspirate from build up above LESV. Continued
095802 - hike heading East on Pine Hollow again. Polar reports after standing
095803 - up and walking less than 100 yards, cardio instantly spiked from HR 94
095804 - to HR 165 then immediatly dropped to 119. This was not noticed at the
095805 - time, similar to hike on 260803, when AFL occurred for 10 minutes or
095806 - so on Treat, per above. ref SDS 0 DY1Q After about .25 mile stopped
095807 - and hiked back to Chevron for water to take electrolyte pill. Polar
095808 - shows on stopping and turning around cardio again spiked momentairly
095809 - to HR 159; on heading back this dropped to HR 114. At Chevron store
095810 - just getting water from dispenser HR 91 reported. Chevron offered a
095811 - cup and water. Took the pill and paused outside. Swallowed water to
095812 - help disolve electrolyte pill for 3 or so minutes. Hike resumed with
095813 - normal HR aligned with elevation changes to end of hike. On leaving
095814 - Chevron turned onto Pine Hollow .25 mile, then turned around and went
095815 - back, and turned left heading West on Campus Drive. Continued 1 mile
095816 - West uphill 3% grade against wind 15 mph. The road bends North.
095817 - Turned left heading West on Ygnacio Valley road .50 mile. Temperature
095818 - < 80 became a factor that did not reduce hiking energy. At Crystal
095819 - Ranch Road, turned around and hiked back. Turned onto Campus Drive
095820 - again and hiked uphill 4% grade .3 mile. Reached Visitor Parking
095821 - California State University East Bay Concord Campus - mile 15. Hiked
095822 - 3 loops around main buildings - used exercise equipment at back of
095823 - buildings to do 20 partial pullups and pushups each pass. Back at
095824 - Visitor Parking mile 17, hiked loops through Faculty and Student
095825 - parking lots. At mile 21, left the college heading North downhill on
095826 - Campus Drive. Turned left onto Ygnacio Valley Road. Hiked West on
095827 - flat grade .5 miles. Continued past Crystal Ranch Road heading West
095828 - on Ygnacio Valley road .5 mile uphill 3% grade against wind 15 mph -
095829 - temp 77. Feeling well, continued on up to summit. Turned around
095830 - going .5 mile back. Turned left onto Cowell going .25 mile downhill
095831 - 5% grade. Continued .25 mile flat grade, then .5 mile downhill 3%
095832 - grade with no shoulder separating narrow commute traffic lane. Turned
095833 - left onto Treat .25 mile; turned right on Cunio. Went .25 mile North
095834 - and turned around at Kaski; back .25 mile and home. Ended hike mile
095835 - 25 time 1659 temp 75, wind 13, bloating PL 3, energy deficit 0, feet
095836 - metatarsalgia PL 3, left foot #1 edge PL 3, #5 edge PL 3, right foot
095837 - #1 PL 0, #5 PL 2, top #3, #4 blistering PL 2, burning sensation PL 0.
095838 - EKG sinus with no artifact, Kardia reported HR 120 Tachycardia - see
095839 - below. ref SDS 0 7KSC
095840 -
095841 -
095842 -
095843 -
095844 -
095845 -
095846 -
095847 -
095848 -
095849 -
095850 -
095851 -
095852 -
095854 - ..
095855 - Kardia recorded HR 065 at 1025, Possible Atrial Fibrillation, looks
095856 - mostly variable heart beat lengths with p-waves and no artifact,
095857 - likely no AFL after hiking 00 miles temp __ yesterday, per above,
095858 - ref SDS 0 68Z5, and diagnosed ischemic colitis on 200612 0700,
095859 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th
095860 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.
095861 - ref SDS 73 NA4H Medical history case study on 200101 0701.
095862 - ref SDS 21 TSYT
095863 -
095864 -
095865 - pix: 950 450
095866 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260816-ecg-102551_mile_00_065_paf_vrbl.pdf
095867 -
095868 -
095869 -
095870 -
095872 - ..
095873 - Polar HR GPS study *** low accuracy GPS used *** in Concord.
095874 - California, hike 25 miles with max temperature 77, - Medical history
095875 - case study on 200101 0701. ref SDS 21 118K
095876 - ..
095877 - x
095878 - Reported Samsung GPS mileage...
095879 - x x A
095880 - x x x
095881 - 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
095882 - 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
095883 - 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
095884 - ** 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
095885 - 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
095886 - 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
095887 - 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
095888 - 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
095889 -
095890 -
095891 -
095892 - https://flow.polar.com/training/analysis/8399662704
095893 -
095895 - ..
095897 -
095898 -
095899 -
095900 -
095901 -
095903 - ..
095904 - EKG at mile 12 time 1242, HR 117 temp 72, wind 12; Kardia reported
095905 - Tachycardia... heart rate looks mostly uniform with no artifact -
095906 - medical history case study on 200101 0701. ref SDS 21 TSYT
095907 -
095908 -
095909 - pix: 950 450
095910 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260814-ecg-124234_mile_12_117_tcy_unfm.pdf
095911 -
095912 -
095913 -
095915 - ..
095916 - End hike EKG at mile 25, time 1659 HR 120 temp 75, wind 13 - Kardia
095917 - reported Tachycardia... looks like sinus mostly uniform with no
095918 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT
095919 -
095920 -
095921 - pix: 950 450
095922 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260814-ecg-165921_mile_25_120_tcy_unfm.pdf
095923 -
095924 -
095925 -
095926 -
095928 - ..
095929 - Post hike HR profile beginning 1945, aligns with indoor activity after
095930 - hiking 00 miles with temperature __, and showing no continuous
095931 - extended period steady elevated HR > 130, indicates no AFL, and no
095932 - possible atrial fibrillation, and after stopping Apixaban on 240711,
095933 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
095934 - patient history on 200101 0701. ref SDS 21 TSYT
095935 -
095937 - ..
095938 - 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
095939 - 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
095940 - 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
095941 - 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
095942 - 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
095943 - 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
095944 -
095945 -
095946 - https://flow.polar.com/training/analysis/8401379049
095948 - ..
095949 - HRV seems 10% 0 and 30% good and 60% poor overnight Polar HR report...
095950 -
095952 - 
095953 -
095954 -
095956 - ..
095957 - Breakfast -
095958 - Lunch - hamburger broccoli onion cottge cheese - at half
095959 - Dinner - eggs hamburger broccoli onion cottge cheese
095961 - ..
095962 - Vomiting: 0% - bloating PL 4
095963 -
095964 -
095965 -
095966 -
095967 -
095968 -
095969 -
095970 -
095971 -
095972 -
095973 -
095974 -
095975 -
095976 -
095977 -
095978 -
095979 -
095980 -
095981 -
095982 -
095983 -
095984 -
095985 -
095986 -
095987 -
095988 -
095989 -
095990 -
095991 -
095992 -
095993 -
095995 - ..
095996 - H I K I N G
095997 - M E D I C A T I O N Miles Time V I T A L S
095998 - Date Time Day Cum Day Cum Day Cum Day Cum Weight BP Pulse
095999 - ====================================================================================
096000 - Monday
096001 - 132. 260817 0700............................................. summary vitals, ref SDS 21 9HIW
096002 - 0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I
096003 - 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
096004 - 0720....BP HR..................................................... 161 81 47 Kardia ECG reports HR status, see below. ref SDS 0 YYTR
096005 - 0725....BP HR..................................................... 162 73 59
096006 - 0730....BP HR..................................................... 169 79 54
096007 - 0735....weight.................................... 186
096008 - 0830....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
096009 - 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
096010 - 0830... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
096011 - 0830....Avocado to increase HDL - 1/2 small
096012 - 0830....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)
096013 - paused 0830....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N
096014 - 0905....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0
096015 - 0905... 05 CoQ10 Ubiquinol Liquid - increases energy
096016 - 0905....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses
096017 - 0000...
096018 - ..
096019 - 0912....miles........... 20.0 20.0 318 318 minutes temp 87 wind 15 rain 0% light
096020 - 0000....................................................
096021 - 1242....mile 12 stopped EKG ... banana for potasium and swallow medication pills
096022 - 1242....Naproxen 500 mg took 1 pill
096023 - 1242... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92
096024 - 1242... 02 CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult
096025 - 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
096026 - 1242... Nuun Electrolytes Pill
096027 - 1242... 20 4060 CoQ10 Ubiquinol Liquid
096028 - 0000....................................................
096029 - 1519... Hike ends mile 20... ref SDS 0 7KJZ
096030 - 0000...
096031 - 1519... chest pain PL 5 standing doing EKG - could be stomach or esophagus
096032 - 0000...
096033 - 1525....weight.................................... 181 lost 5#
096034 - 1530....BP HR..................................................... 143 80 99
096035 - 1532....BP HR..................................................... 137 76 72
096036 - 1540....BP HR..................................................... 135 78 69
096037 - 0000...
096038 - 1554... chest pain PL 3 sitting
096039 - 1700... chest pain PL 0 sitting
096040 - 0000...
096041 - ..
096042 - 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
096043 - 1830............ 10 21450 Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL
096044 - 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
096045 - 0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY
096046 - 0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49
096047 - 0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet
096048 - 2250... 1000 2456000 Calcium Carbonate Tums (500 MG)
096049 - 0000... 10 60 Cyclobenzaprine sleep aid
096050 - 2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole
096051 - 2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L
096052 -
096054 - ..
096055 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or
096056 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ
096058 - ..
096059 - Peripheral Neuropathy, restless legs and/or PAD has decreased with
096060 - pain no longer in toes down to heels. Symptoms have increased pins
096061 - and needles tingling in evening, when feet are elevated in reclining
096062 - chair. Restless legs has not occurred for awhile, maybe because
096063 - hiking declined considerably - may return since hiking increased OA
096064 - 260727.
096066 - ..
096067 - Pain medication limitations reported in case study on 200101 0701.
096068 - ref SDS 21 KS5O
096070 - ..
096071 - Swallowing - difficult - must eat very slowly, small bites, chew
096072 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,
096073 - aspiration.
096075 - ..
096076 - Reflux slept in bed 80%, and in recliner chair 20% to control
096077 - aspiration, vomited less.
096078 -
096079 -
096081 - ..
096082 - Summary... continuing difficulty swallowing nutrition, hydration and
096083 - medications, due to bloating with aspiration, occurring past week.
096084 - Stopping at mile 12, for EKG, meds and nutrition - was able keep down
096085 - most meds. When hike ended mile 20, chest pain PL 6 for 30 minutes;
096086 - may have related to difficulty swallowing at mile 12. Good results
096087 - wearing Hoka Clifton 11 shoes received yesterday.
096088 -
096090 - ..
096091 - Pain Location Pain Level % of Hike
096092 - ----------------------------------------- ---------- ---------
096093 - Stomach pain ischemic colitis bloating....... 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
096094 - 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
096095 - Hands cramping hurting - post hike........... 0 100 hands and thumbs cramping 2 hours after hike
096096 - Hands flinching post hike muscle spasms...... 0 100
096097 - 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
096098 - 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
096099 - Breathing ARDS............................... 0 100 difficulty breathing due to grade and length
096100 - Trapezius right side neck/shoulder........... 0 100 no recurrance today momentarily last half hike turning body and head left or right
096101 - Spine below neck lift left or right arm...... 0 100 did not occur today, but not a factor if head held steady
096102 - Neck turning head/chest left or right........ 0 100 episodes mile 18+ took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00
096103 - 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
096104 - Bicep tendon strain across elbow right arm... 0 100
096105 - 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
096106 - Hands sunburned itching rash................. 0 100 omitted sunblock today 260512, just forgot
096107 - Hip left..................................... 0 100 noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped
096108 - Back......................................... 0 100
096109 - Hip right.................................... 0 100
096110 - Shin splint pain both legs................... 0 100
096111 - Knee left skin lesions left side............. 0 100
096112 - 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
096113 - Knee left patalla...PRP 210705............... 0 100
096114 - Knee buckling left..PRP 191209.240108........ 0 100 began coming down Ygnacio Valley Road about mile 22 - intermittant
096115 - Knee left anterior cruciate ligament......... 0 100 same as knee buckling
096116 - Knee right cruciate ligament back of knee.... 0 100
096117 - 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
096118 - Achilees tendon right leg collaps/buckling... 0 100 did not recur today
096119 - Quadraceps both legs......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
096120 - Hamstring tendon left leg.PRP 210705......... 0 100
096121 - Hamstring left leg........................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
096122 - Hamstring right leg.......................... 0 100 post hike - legs did not hurt during hike likely due to magnesium
096123 - Calf left.................................... 0 100
096124 - Tailor's Bunion left foot.. PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
096125 - Tailor's Bunion right foot..PRP 260403....... 0 100 Doctor Tang shaved calluses 260507 - pressure today last 3 miles
096126 - Plantar plate right foot..................... 0 100
096127 - Electric shocks middle 3 toes right foot..... 0 100 occurred intermittanly for minutes maybe twice
096128 - Metatarsalgia left foot...PRP 260403......... 0 100 PRP 260403 may be curing this injury
096129 - Metatarsalgia right foot..PRP 260403......... 0 100 PRP 260403 may be curing this injury
096130 - new Right foot fat pad below #3 & #4,,,,,,,,,,... 0 100 PRP 260403 may be curing this injury
096131 - 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
096132 - Planarfaciitis right foot..240213............. 0 100
096133 - Feet bottom soles hurt socks worn out........ 0 100
096134 - 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
096135 - Ankle left achilles heel on 220416........... 0 100 left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today
096136 - Ankle right pain on 200407 and 231203........ 0 100 xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal
096137 - Foot right possible fracture 200917......... 0 100 CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831
096138 - Hallux Valgus right foot..................... 0 100 seems stable despite hiking therapeutic miles
096139 - Cut big right foot........................... 0 100 Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316
096140 - Callus big toe left foot...PRP 210705........ 0 100 wearing Hoka Clifton 11 shoes 1st time
096141 - Callus big toe right foot...PRP 210705....... 0 100 peeled large callus just before hike - stable no pain for multiple months
096142 - Blister below big toe right foot............. 0 100
096143 - Blister below big toe left foot.............. 0 100 new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725
096144 - 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
096145 - 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
096146 - Blister forefoot toes right foot............. 0 100
096147 - 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
096148 - 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
096149 - 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
096150 - 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,
096151 - Blister ring toe left foot.new 240602........ 0 100 seems healed today on 240626
096152 - 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
096153 - 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
096154 - 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
096155 - Blister top foot at toe line left foot....... 0 100
096156 - 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
096157 - 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
096158 - Blister top long and middle toes left foot... 0 100
096159 - 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
096160 - 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
096161 - Diabetes toes both feet inflamed, itch....... 0 100 Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms
096162 - 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
096163 - Peripheral neruopathy top left hand.......... 0 100 worse after 2 miles and calmed by mile 8
096164 - Peripheral neruopathy top right hand......... 0 100 worse after 2 miles and calmed by mile 8
096165 - Veering left................................. 0 100 veering left about mile 15 last 5 miles
096166 - Veering right ............................... 0 100
096167 - Fall......................................... 0 100
096168 - Restless legs................................ 0 100
096169 - AFL...5th ablation on 231214................. 0 100 Polar shows no AFL entire hike
096170 - 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
096171 - Wasted - very fatigued....................... 2 20 last 4 miles heat reached 92, had to end hike at 21
096172 - Hiker's rash vasculitis.see 210618........... 0 100 after hike quads show heat rash
096173 -
096174 -
096176 - ..
096177 - Shoes see case study on 200101 0701. ref SDS 21 SO4L Wore new Hoka
096178 - Clifton 11 shoes size 11.5 width 4E, received yesterday on 260816
096179 - 1511, ref SDS C9 EQ7K Very good hike mostly PL 0. Best cushioning,
096180 - no pain metatarsalgia, no pain top both feet #3s, 4s, 5s. Minimal
096181 - lateral pressure left foot #1 and #5. No lateral pressure right foot
096182 - #1 and #5. Excellent rebound energy, like Hoka Bondi 9, and Mount to
096183 - Coast. Feet very secure in shoe including on uneven surface.
096185 - ..
096186 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin
096187 - with more padding to transfer load from forefeet to instep arch,
096188 - received from Doctor Hewitson at VA Podiatry on 260727 0900.
096189 - ref SDS C6 LJHN Worked well with Hoka Clifton 11 shoes today.
096191 - ..
096192 - Callus Injuries - in recent weeks, have peeled large sections of
096193 - callus on left foot #1 edge and bottom of toe, completed on 260725,
096194 - per above. ref SDS 0 TI2H Yesterday, Doctor Tang and his assistant,
096195 - John, in VA Podiatry maintained wounds from these feet callus removals
096196 - yesterday on 260730 0900. ref SDS C7 5A4I Wounds have worsened
096197 - wearing Hoka Gaviota shoes and more recently, Brooks Glycerin shoes.
096198 - They healed to some degree past 3 days. Today, wearing Hoka Clifton
096199 - 11 shoes, did not feel pressure on calluses, especially no lateral
096200 - pressure on both feet #1s and #5s. If this is repeated with hiking
096201 - restored to therapeutic levels in days, weeks, months ahead, then HDL
096202 - 55 reported on 260806 0901, ref SDS C8 UE6H, Should recover > 60,
096203 - along with EPCs and telomeres that maintain good health, including
096204 - recovery from dysfunctional ANS.
096206 - ..
096207 - Socks see case study on 200101 0701. ref SDS 21 0S6N Wore 2 pair
096208 - dual-ply Wrightsocks socks.
096209 -
096210 -
096212 - ..
096213 - Concord 20 mile route - took Glucosamine Chondroitin for OA
096214 - protection, mainly left knee treated with PRP intra articular
096215 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,
096216 - and also left hip, which flares few times a month, as 3 days ago on
096217 - 260814. Took 1 Naproxen 500 mg for pain management - cut in half to
096218 - aid swallowing, there is no metatarsalgia pain in feet starting hike
096219 - today, and both feet #1 and #5 calluses both PL 0 - were shaved down
096220 - by Doctor Tang in VAMC Podiatry on 260730 0900, ref SDS C7 5H6F; left
096221 - foot #1 #5 calluses growing again, possibly more slowly. Took 4
096222 - Magnesium Complex 300 mg pills for cellular energy, absorbing lactic
096223 - acid, and reducing inflammation, all to enable hiking that increases
096224 - HDL and EPCs, which together regress plaque in blood vessel - see
096225 - research on 200101 0701, ref SDS 21 QP6L Took 2 CoQ10 capsules for
096226 - energy - CoQ10 is an enzyme produced in the body that supports an
096227 - electron transport chain (ETC) giving human cells energy, and protects
096228 - heart tissue from harmful free radicals and stress - see case study on
096229 - 200101 0701. ref SDS 21 136K Took 2 Turmeric Curcumin 2250 mg pills
096230 - to resolve inflammation, essential for HDL to rise - see again case
096231 - study on 200101 0701. ref SDS 21 NKSY Swallowed pills separately (1
096232 - at a time) and whole combined with small amount avocado, mayonaise,
096233 - peanut butter and margarine - pills slip through LESV easier when
096234 - swallowed combined with food chewed to a slurry combined with
096235 - carbonated softdrink. About 20 minutes later, after dressing for
096236 - hike, took liquid Turmeric Curcumin and Ubiquinol CoQ10 per above.
096237 - ref SDS 0 EJ2P No breakfast reduces bloating feeling starting hike
096238 - from ischemic colitis caused by taking statins and other drugs, also
096239 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -
096240 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H
096241 - Did not take backpack to carry stuff - good to build conditioning for
096242 - Half Dome - because extra weight increases pressure that causes feet
096243 - injuries, e.g., calluses. Did mile loop around the block to start
096244 - hike, which identifies bloating and feet wound issues that can be
096245 - treated, before problems arise miles from home. Hiked Cuneo .25 mile
096246 - and turned left, onto Treat - was hiking well immediately, due in part
096247 - to new Hoka Clifton 11 shoes with much better than average rebound
096248 - energy. Steady hiking caused HDL 65 on 260302, but pausing lowered to
096249 - HDL 51 on 260727; daily hiking for next 10 days, elevated lipids back
096250 - to HDL 55 on 260806 0901. ref SDS C8 UE6H Breathed through nose
096251 - entire hike with no dyspnea, indicating conditioning has sustained,
096252 - despite mostly on-and-off hiking last few months, and have not been
096253 - hiking Crystal Ranch Road, resulting in dyspnea hiking 1 mile uphill
096254 - to Cliff House and on Point Lobos returning to hospital, per above on
096255 - 260727. ref SDS 0 9SAH Started hike in morning OA 0912, with
096256 - temperature at 66, and reached 97. East wind 15 mph and mostly 12
096257 - mph. Continued East on Treat .5 miles. Turned right hiking South on
096258 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,
096259 - some places 3% uphill, and very light traffic. Maintained normal pace
096260 - 15 minute miles. Did not hike across Newhall Community park and back
096261 - today. Continued on Turtle Creek Road uphill 4% grade. At end of
096262 - Turtle Creek Road turned left onto Ayers hiking East .75 miles on
096263 - asphalt road shoulder. At mile 5, turned right onto Clayton Road
096264 - hiking South .5 miles on asphalt pavement in parking lots of shopping
096265 - complex. Stopped at Lucky store to buy banana with potassium that
096266 - complements meds for energy, and aids swallowing meds to slip through
096267 - tightening LESV, pending EGD dilation on 260821. Crossed Alberto Way
096268 - at traffic light and continued on concrete sidewalk .5 miles. Energy
096269 - maintained - no need to stop at Mountain Mike's Pizza restaurant to
096270 - take meds for energy deficit caused by dysfunctional ANS. Turned
096271 - right going West on Ygnacio Valley Road still using concrete sidewalk
096272 - .5 miles. Continued past Park Highlands Road at traffic stoplight and
096273 - heading West .25 miles on very narrow asphalt shoulder next to high
096274 - risk heavy morning commute traffic. Crossed to South side Ygnacio
096275 - Valley Road hiking on wider shoulder past stoplight at Michigan
096276 - Boulevard. Hiked another .25 miles to Chevron gas station and store.
096277 - At mile 7, turned left onto Pine Hollow, - hiked East 2.5 miles. At
096278 - end of Pine Hollow turned around and hiked back. Turned right onto
096279 - Ygnacio Valley Road and hiked .25 mile. Turned around and hiked back.
096280 - Stopped at Chevron gas station store mile 12, time 1242, temp 81 and
096281 - wind 12 mph; EKG looks mostly uniform with no artifact, but some
096282 - possible irregularity, Kardia reported HR 117 Tachycardia, - see
096283 - below. ref SDS 0 VKUN Bloating PL 5, energy deficit PL 2, both feet
096284 - metatarsalgia PL 0. Left foot #1 PL - and #5 PL -. Right foot #5 PL
096285 - 0; top of #3, #4, #5 PL 0 - feels much better today, than past 3
096286 - weeks. Took 1 Naproxen 500 mg total today 2 for pain. Took only 2
096287 - Magnesium complex 300 mg pills - total today 6. Took 2 Turmeric
096288 - Curcumin 2250 mg - total today 4. Difficulty swallowing meds with
096289 - bites of banana and sips of softdrink, as on 260806; esophagus was
096290 - filling up, but able to take 2 CoQ10 pills - total today 4 - to
096291 - increase energy. Sips softdrink purchased from Chev store for
096292 - hydration and swallowing nutrition - banana purchased at Lucky store
096293 - enables swallowing medication pills combined with bites of banana to
096294 - slip through LESV now contracted due to achalasia, pending dilation
096295 - procedure scheduled on 260821. Took Ubiquinol CoQ10 0.6 ml liquid for
096296 - HDL and energy to finish hike. Took Nuun electrolyte pill, all per
096297 - above. ref SDS 0 74I7 Was beginning to aspirate from build up above
096298 - LESV. Continued hike heading East on Ygnacio again, carrying the
096299 - softdrink to sip while swallowing the electrolyte pill. After about
096300 - .5 mile turned around at Michigan Boulevard and hiked back to Chevron.
096301 - Turned onto Pine Hollow hiking 1.5 mile East. At Pennsylvania
096302 - Boulevard turned around and went back, and turned left heading West on
096303 - Campus Drive. Continued 1 mile West uphill 3% grade against wind 15
096304 - mph. The road bends North. Turned left heading West on Ygnacio
096305 - Valley road .50 mile. Temperature 85 became a factor reducing energy,
096306 - and possibly because reduced magnesium from 4 to only 2. Did not turn
096307 - around and hike up to the college and hike through parking lots, doing
096308 - strength training on exercise equipment. Continued past Crystal Ranch
096309 - Road heading West on Ygnacio Valley road .5 mile uphill 3% grade
096310 - against wind 15 mph - temp 87. Hiked past Cowell .5 mile up to
096311 - summit. Turned around going .5 mile back. Turned left onto Cowell
096312 - going .25 mile downhill 5% grade. Continued .25 mile flat grade, then
096313 - .5 mile downhill 3% grade with no shoulder separating narrow commute
096314 - traffic lane. Turned left onto Treat .25 mile; turned right on Cunio
096315 - and home. Ended hike mile 20 time 1519 temp 87, wind 15, bloating PL
096316 - 5, energy deficit 2, feet metatarsalgia PL 1, left foot #1 edge PL 0,
096317 - #5 edge PL 2, right foot #1 PL 0, #5 PL 1, top #3, #4 blistering PL 0,
096318 - burning sensation PL 0. EKG sinus with severe artifact, Kardia
096319 - reported HR 118 Tachycardia - see below. ref SDS 0 7KJZ
096320 -
096321 -
096322 -
096323 -
096324 -
096325 -
096326 -
096327 -
096328 -
096329 -
096330 -
096331 -
096332 -
096334 - ..
096335 - Kardia recorded HR 053 at 0822, Possible Atrial Fibrillation, looks
096336 - mostly variable heart beat lengths with p-waves and no artifact,
096337 - likely no AFL after hiking 00 miles temp __ yesterday, per above,
096338 - ref SDS 0 8EFG, and diagnosed ischemic colitis on 200612 0700,
096339 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th
096340 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.
096341 - ref SDS 73 NA4H Medical history case study on 200101 0701.
096342 - ref SDS 21 TSYT
096343 -
096344 -
096345 - pix: 950 450
096346 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260817-ecg-082251_mile_00_053_paf_vrbl.pdf
096347 -
096348 -
096349 -
096350 -
096352 - ..
096353 - Polar HR GPS study *** low accuracy GPS used *** in Concord.
096354 - California, hike 20 miles with max temperature 87, - Medical history
096355 - case study on 200101 0701. ref SDS 21 118K
096356 - ..
096357 - x
096358 - Reported Samsung GPS mileage...
096359 - x x A
096360 - x x x
096361 - 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
096362 - 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
096363 - 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
096364 - ** 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
096365 - 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
096366 - 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
096367 - 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
096368 - 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
096369 -
096370 -
096371 -
096372 -
096373 - https://flow.polar.com/training/analysis/8401690474
096375 - ..
096377 - 
096378 -
096379 -
096380 -
096381 -
096383 - ..
096384 - EKG at mile 12 time 1242, HR 116 temp 61, wind 12; Kardia reported
096385 - Tachycardia... heart rate looks mostly uniform with no artifact,
096386 - however 3 or 4 beats show irregularity - medical history case study on
096387 - 200101 0701. ref SDS 21 TSYT
096388 -
096389 -
096390 - pix: 950 450
096391 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260817-ecg-124202_mile_12_116_tcy_unfm.pdf
096392 -
096393 -
096394 -
096396 - ..
096397 - End hike EKG at mile 20, time 1519 HR 118 temp 87, wind 15 - Kardia
096398 - reported Tachycardia... looks like sinus mostly uniform with severe
096399 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT
096400 -
096401 -
096402 - pix: 950 450
096403 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260817-ecg-151928_mile_20_118_tcy_unfm.pdf
096404 -
096406 - ..
096407 - EKG performed immediately on ending hike. Chest began hurting to PL
096408 - 6, similar to hiking Lafayette Reservoir that caused chest pain
096409 - reported to Doctor Lee at VA GI Clinic on 090908 1130, ref SDS 1 MY4N,
096410 - which led to CABGx4 on 091022 0700. ref SDS 2 PQWU Therefore did
096411 - 2nd EKG - seems perfect...
096412 -
096413 -
096414 - pix: 950 450
096415 - F:\05\00003\SM\CC\BNKG\000101cc\HR_260817-ecg-154257_mile_20_102_tcy_unfm.pdf
096416 -
096417 -
096418 -
096419 -
096420 -
096421 -
096422 -
096424 - ..
096425 - Post hike HR profile beginning 1945, aligns with indoor activity after
096426 - hiking 00 miles with temperature __, and showing no continuous
096427 - extended period steady elevated HR > 130, indicates no AFL, and no
096428 - possible atrial fibrillation, and after stopping Apixaban on 240711,
096429 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See
096430 - patient history on 200101 0701. ref SDS 21 TSYT
096431 -
096433 - ..
096434 - 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
096435 - 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
096436 - 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
096437 - 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
096438 - 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
096439 - 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
096440 -
096441 -
096442 - https://flow.polar.com/training/analysis/8401379049
096444 - ..
096445 - HRV seems 10% 0 and 30% good and 60% poor overnight Polar HR report...
096446 -
096448 -
096449 -
096450 -
096452 - ..
096453 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds
096454 - Lunch - banana with hiking meds - HR elevated > 160 twice after lunch
096455 - Dinner - eggs hamburger broccoli onion cottge cheese
096457 - ..
096458 - Vomiting: 0% - bloating PL 6 - chest, maybe stomach pain
096459 -
096460 -
096461 -
096462 -
096463 -
096464 -
096465 -
096466 -
096467 -
096468 -
096469 -
096470 -
096471 -
096472 -
096473 -
096474 -
096475 -
096476 -
096477 -
096478 -
096479 -
096480 -
096481 -
096482 -
096483 -
096484 -
0965 -