Graham Walker, 32 years old (8/17/1980)
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Last Updated: 11/16/2012

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About Me

Contact Phone: 913.341.6999

Emergency Contact: Susan Walker, mother, 913.341.6543

Primary Care Doctor: Dr. John Kenyon, 413.319.5131

Personal Information

  • Contact Phone: 913.341.6999
  • Address: 5555 W 101 Terr, Overland Park, KS 66207
  • Religion: None
  • Marital Status: Single
  • Ethnicity: White/Non-Hispanic
  • Primary Language: English

Emergency Contact

  • Susan Walker, mother, 913.341.6543

Primary Care Doctor

  • Dr. John Kenyon, 415.319.5131
  • Address: 2425 Geary Blvd, San Francisco, CA
  • Kaiser Permanente, Department of Family Medicine

My Health Status

Allergies: Sulfa, Statins, Shellfish, Statins, Aspirin

End of Life Care Plan: Full Code

Allergies

Medicine/AgentSeverity / ReactionDate Recorded
Sulfa1 - Anaphylactic ShockUnknown
Statins2 - Tongue Swelling4/21/2001
Shellfish3 - Itching4/7/2009
Statins4 - Adverse Reaction (Myalgias)11/2/1998
Aspirin4 - Adverse Reaction (GI Bleed)11/2/1998

End of Life Care Plan: Full Code

Immunizations

VaccinationDate Given
Flu Shot (Influenza)4/21/2012
Tetanus (TDaP)11/2/2005 (Due for update)

My Medications

Aspirin (Anacin), Atenolol (Tenormin), Atorvastatin (Lipitor), Azithromycin (Zithromax), Diltiazem (Cardizem), Furosemide (Lasix), Ibuprofen (Motrin), Levothyroxine (Synthroid), Lisinopril (Prinivil), Nicotine Patch (Nicoderm), Omeprazole (Prilosec), Oxycodone (OxyContin), Warfarin (Coumadin)

Show Medications By...
Common Name
(Generic in Blue)		 Morning
 Afternoon
 Night
 Summary
Aspirin (Anacin) 81mg 1 pill once a day
Atenolol (Tenormin) 25mg 2 pills twice a day
Lipitor (Atorvastatin) 20mg 1 pill once a day
Azithromycin (Zithromax) 500mg 1 pill once a day
Diltiazem (Cardizem) 30mg 1 pill once a day
Lasix (Furosemide) 80mg 1 pill twice a day
Ibuprofen 200mg (Motrin) 2 pills 3 times a day as needed for pain
Synthroid (Levothyroxine) 125mcg 1 pill once a day
Lisinopril (Prinivil) 20mg 1 pill every night
Nicotine Patch (Nicoderm) 50mg 1 patch once a day
Omeprazole (Prilosec) 20mg 1 pill once a day
Oxycodone (Oxycontin) 5mg 1 pill 3 times a day as needed for pain
Coumadin (Warfarin) 5mg 1 pill once a day
Common Name
(Generic in Blue)		 Dosage or Change in Dosage Date Prescribed Instruction
Aspirin (Anacin)

Learn More »		 81mg 1/1/1946 Take 1 pill every day
Atenolol (Tenormin)
50mg 100mg 11/12/2012
 Take 2 pills 2 times a day
Lipitor (Atorvastatin)
20mg 11/12/2012 Take 1 pill every day
Azithromycin (Zithromax)
500mg 11/15/2012 Take 1 pill every day for 3 days
Diltiazem (Cardizem)
30mg 11/5/2012 Take 1 pill 2 times a day
Lasix (Furosemide)
80mg 5/5/2010 Take 1 pill 3 times a day
Ibuprofen (Motrin)
400mg 3/2/2000 Take 1 pill 3 times a day as needed for pain
Synthroid (Levothyroxine)
125mcg 5/1/1995 Take 1 pill every day
Lisinopril (Prinivil)
20mg 3/2/2000 Take 1 pill every day
Nicotine Patch (Nicoderm) 50mg 3/2/2000 Put one patch on your shoulder every day and take off the old one
Omeprazole (Prilosec)
20mg 3/2/2000 Take 1 pill every day
Oxycodone (Oxycontin)
5mg 3/2/2000 Take 1 pill every 6 hours as needed for pain
Coumadin (Warfarin)
5mg 11/5/2012 Take 1 pill every day

Atrial Fibrillation

This is a condition where the heart rhythm can be irregular and fast. It is the most common arrhythmia (or abnormal heart rhythm) of the heart, and happens to many people as they get older. This condition makes people much more likely to have a stroke, so most patients are put on blood thinners to lower this risk, and other medicines to slow the heart to prevent it from going too fast.
Coumadin This medicine thins your blood to lower your risk of stroke.
Diltiazem This medicine helps control your heart rate from going too fast.

COPD Exacerbation

COPD is a disease that occurs mostly in people who have smoked for a long time. It causes trouble breathing and leads to higher risks of infections in the lungs, and is usually treatment with antibiotics when it gets worse.
Azithromycin This medicine fights lung infections that cause a COPD exaceration.

Heart Burn

Heart burn is a common complaint of burning in the upper stomach and sometimes in the chest, after eating spicy foods, choccolate, coffee, or other foods.
Omeprazole This medication helps prevent heart burn symptoms and helps heal stomach ulcers.

Heart Health/Prevention

People who have multiple cardiovascular (heart) problems are frequently given blood thinners to prevent more serious or repeated problems like heart attacks and strokes.
Aspirin This medication helps prevent heart attacks and strokes by thinning the blood.

Heart Failure (Congestive Heart Failure)

Heart failure is a condition that usually occurs from prior heart attacks or having high blood pressure for a long time. It occurs when the heart cannot deal with the stressors placed on it, and can cause fluid build up in the lungs and legs most frequently. It is important to control blood pressure and diet as well as take pills to help urinate out the extra fluid build up.
Atenolol This medication helps lower your blood pressure.
Lasix This medication helps lower your blood pressure and remove excess fluid buildup in your legs and lungs.

High Blood Pressure (Hypertension)

High blood pressure is the "silent killer," because it causes heart attacks, strokes, and kidney failure but typically does not come with any symptoms. It is usually not a problem in the short term, but over many years of high blood pressure it can cause problems. It is treated with medicines to lower the blood pressure.
Atenolol This medication helps lower your blood pressure.
Diltiazem This medication helps lower your blood pressure.
Lisinopril This medication helps lower your blood pressure.

High Cholesterol (Hyperlipidemia)

High cholesterol is linked to heart attacks, strokes, and other problems. Diet plays a role in cholesterol, but so does exercise. If cholesterol cannot be improved with diet, some patients are put on pills to fix the cholesterol problem.
Lipitor This medication helps lower your cholesterol.

Low Thyroid (Hypothyroidism)

The thyroid is a gland in your neck that regulates your entire body -- temperature, burning calories, blood pressure, and even concentration and anxiety. If it is too low, the thyroid hormone can be replaced to balance out the body.
Synthroid This medication helps balance your thyroid levels.

Pain (Musculoskeletal Pain)

Pain (especially back pain) is a chronic problem affecting most people, and hard to get rid of. Physical therapy and daily exercise are usually the best treatments in the long term to prevent pain and prevent it from getting worse, but pain medicines can also help with the pain gets more severe.
Ibuprofen This medication helps control pain.
Oxycodone This medication helps control pain.










Common Name
(Generic in Blue)		 Dosage Reason To Take It Body System It Helps Instructions
Aspirin (Anacin)
81mg Heart Attack and Stroke Protection
Learn More »		 Heart (Cardiac) Take 1 pill every day
Atenolol (Tenormin)
50mg High Blood Pressure Heart (Cardiac) Take 1 pill 2 times a day
Lipitor (Atorvastatin)
20mg High Cholesterol Heart (Cardiac) Take 1 pill every day
Azithromycin (Zithromax)
500mg COPD Exacerbation Infection Take 1 pill every day for 3 days
Diltiazem (Cardizem)
30mg Stroke Prevention and Heart Rate Control Heart (Cardiac) Take 1 pill 2 times a day
Lasix (Furosemide)
80mg Preventing Fluid Buildup Heart (Cardiac), Lungs (Respiratory) and Legs (Musculoskeletal) Take 1 pill 3 times a day
Ibuprofen (Motrin)
400mg Back Pain Back (Musculoskeletal) Take 1 pill 3 times a day as needed for pain
Synthroid (Levothyroxine)
125mcg Low Thyroid Thyroid (Endocrine) Take 1 pill every day
Lisinopril (Prinivil)
20mg High Blood Pressure Heart (Cardiac) Take 1 pill every day
Nicotine Patch (Nicoderm) 50mg Quitting Smoking Overall Health Put one patch on your shoulder every day and take off the old one
Omeprazole (Prilosec)
20mg Heart Burn Stomach (GI) Take 1 pill every day
Oxycodone (Oxycontin)
5mg Back Pain Back (Musculoskeletal) Take 1 pill every 6 hours as needed for pain
Coumadin (Warfarin)
5mg Stroke Prevention Heart (Cardiac), Brain (Neurological) Take 1 pill every day
Generic Name Brand Name Dosage Reason To Take It Body System It Helps Instructions
Aspirin Anacin 81mg Heart Attack and Stroke Protection Heart (Cardiac) Take 1 pill every day
Atenolol Tenormin 50mg High Blood Pressure Heart (Cardiac) Take 1 pill 2 times a day
Atorvastatin Lipitor 20mg High Cholesterol Heart (Cardiac) Take 1 pill every day
Azithromycin Zithromax 500mg COPD Exacerbation Infection Take 1 pill every day for 3 days
Diltiazem Cardizem 30mg Stroke Prevention and Heart Rate Control Heart (Cardiac) Take 1 pill 2 times a day
Furosemide Lasix 80mg Preventing Fluid Buildup Heart (Cardiac), Lungs (Respiratory) and Legs (Musculoskeletal) Take 1 pill 3 times a day
Ibuprofen Motrin 400mg Back Pain Back (Musculoskeletal) Take 1 pill 3 times a day as needed for pain
Levothyroxine Synthroid 125mcg Low Thyroid Thyroid (Endocrine) Take 1 pill every day
Lisinopril Prinivil 20mg High Blood Pressure Heart (Cardiac) Take 1 pill every day
Nicotine Patch Nicoderm 50mg Quitting Smoking Overall Health Put one patch on your shoulder every day and take off the old one
Omeprazole Prilosec 20mg Heart Burn Stomach (GI) Take 1 pill every day
Oxycodone Oxycontin 5mg Back Pain Back (Musculoskeletal) Take 1 pill every 6 hours as needed for pain
Warfarin Coumadin 5mg Stroke Prevention Heart (Cardiac), Brain (Neurological) Take 1 pill every day

My Health Problems

Medical: Diabetes, Atrial Fibrillation, Emphysema, High Blood Pressure, Prior Heart Attack, Heart Failure, High Cholesterol, Ingrown Toenail, Lower Back Pain, Prior Broken Wrist

Surgical: Prior Appendix Removal, Prior Cardiac Cath, Prior Lower Back Surgery, Prior Right Knee Surgery

Psychiatric: Anxiety

Condition Category Date Diagnosed How It's Being Treated What You Can Do At Home What Causes It?
Diabetes (Type 2 Diabetes Mellitus)
Learn More »		 Medical - Endocrine 6/1/2001 Medicines Continue taking your medicines regularly and checking your blood sugar 3 times a day. Watch what you eat closely. Exercise at least 30 minutes a day.
Since you have a history of ingrown toenails, have a podiatrist trim your toenails for you.		 Weight gain, western diet, sedentary lifestyle, genetic predisposition
Atrial Fibrillation (Atrial Fibrillation)
Learn More »		 Medical - Cardiac 6/1/2001 Medicines Take your medicines regularly. Alcohol and caffeine intake, high blood pressure, COPD, smoking, pneumonia, heart failure
COPD (Emphysema)
Learn More »		 Medical - Respiratory 7/6/1995 Medicines Quit smoking. Smoking
High Blood Pressure (Hypertension)
Learn More »		 Medical - Cardiac 7/6/1995 Medicines Take your medicines regularly. Sleep apnea, salt intake; in most cases of high blood pressure we don't know the cause
Prior Heart Attack (History of Myocardial Infarction)
Learn More »		 Medical - Cardiac 2/4/1998 Medicines Take your medicines regularly.
Exercise daily.		 High blood pressure, diabetes, high cholesterol
Heart Failure (Congestive Heart Failure)
Learn More »		 Medical - Cardiac 2/4/1998 Medicines Take your medicines regularly. Weigh yourself. Avoid foods high in salt. High blood pressure, heart attack
High Cholesterol (Hyperlipidemia)
Learn More »		 Medical - Cardiac 7/6/1995 Medicines Take your medicines regularly. Exercise daily. Diet, lack of exercise
Ingrown Toenail (Paronychia of Toe)
Learn More »		 Medical - Musculoskeletal 11/2/2012 Resolved Wash your feet with soap and water daily, and see a podiatrist for toenail clipping, since you have diabetes. Poor toenail clipping
Back Pain (Spinal Stenosis)
Learn More »		 Medical - Musculoskeletal 12/12/2009 Medicines Daily simple exercise (like walking) can help control pain, along with physical therapy. Don't over-exert yourself by lifting or carrying things too heavy for you. Back pain can happen with age, but can get worse after trauma or heavy lifting
Prior Broken Wrist (Distal Radius Fracture)
Learn More »		 Medical - Musculoskeletal 2/12/2009 Cast Avoid falls. Usually falls onto the hand
Appendix Removal for Appendicitis (Appendectomy)
Learn More » 		Surgical - GI 1/1/1976 n/a n/a n/a
Cardiac Cath (Cardiac Catheterization)
Learn More »		 Surgical - Cardiac 2/4/1998 n/a n/a n/a
Lower Back Surgery (Laminectomy, L4-S1)
Learn More »		 Surgical - Musculoskeletal 12/12/2010 n/a n/a n/a
Prior Knee Surgery (ACL Repair, Right Knee)
Learn More »		 Surgical - Musculoskeletal 10/19/1984 n/a n/a n/a
Anxiety (Anxiety Disorder)
Learn More »		 Psychiatric 10/9/1987 Resolved Resolved Caffeine, alcohol, personality type, stress

My Labs and Imaging Tests

Alert: Mildly Low Potassium

Alert: Abnormally High INR, Increased Risk of Bleeding

Summary

Alerts:

  • Your potassium is mildly low.
  • Your INR test is abnormally elevated today, which increases your risk of bleeding.
  • Your mild anemia is stable and not worsening and does not require a blood transfusion.
  • Your kidney function has improved since the last time it was checked.
  • Your urine test showed no signs of infection.
  • Your diabetes sugar tests show good blood sugar control. Good job!

See details about your recent imaging tests on the left.

Bleeding Tests

  • Mild anemia
  • Normal platelets
  • INR test abnormally high

Anemia (Low Blood Count) Tests

Anemia is tested by the hemoglobin and hematocrit tests. A higher level is usually better, and suggests no anemia. A low number can be due to bleeding, iron deficiency, or many other causes. If the level is too low, it may require a blood transfusion or admission to the hospital to determine why it is so low.

Hover over the lab bar to see actual numbers.

Prior Level 11.3 My Level 10.5
Very Low
Low
Normal
9 11 1316

Your level is mildly low. Your doctor may want to do further testing.

Platelet Tests

Platelets are made by the body and help it form blood clots to stop bleeding. Platelets can be low in liver diseases and autoimmune diseases or from bleeding or cancers. If the platelet level is very low or you are at risk of bleeding it may require a transfusion of platelets.

Prior Level My Level
Very Low
Low
Normal

Your level is normal.

Blood Thinning Tests (INR)

Your liver makes natural blood thinners for your body to help it from clotting too easily. Sometimes doctors also give other medicines to help thin the blood further (like coumadin, lovenox, or pradaxa) to lower the risk of stroke or other serious blood clots in the body.

Prior Level My Level
Normal
Goal for You
High
Dangerously High

You are on coumadin, which thins your blood. Your level is too high, which increases your risk of bleeding too easily. Your doctor may want you to skip a dose of the coumadin or get a repeat level this week.

Electrolyte Tests

  • Sodium normal
  • Potassium mildly low
  • Calcium normal

Sodium Tests

Sodium is the most common electrolyte in your blood, if it is too low or high it can cause weakness, seizures, and coma; it can become low or high due to dehydration, medications, or fluid buildup in the body from kidney or heart problems.

Prior Level
My Level
Very Low
Low
Normal
High
Very High

Your sodium level is normal.

Potassium Tests

Potassium is the most common electrolyte in your body cells, if it is too low or high it can cause weakness, abnormal heart rhythm and even death. It can become low or high due to medications or kidney problems.

Prior Level
My Level
Very Low
Low
Normal
High
Very High

Your potassium level is mildly low.

Calcium Tests

Calcium is important to the function of the nerves and heart. If it is too low or high it can cause weakness, and if it is too high it can cause confusion, delirium, or even abdominal pain.

Prior Level
My Level
Very Low
Low
Normal
High
Very High

Your calcium level is normal.

Kidney and Liver Tests

  • Kidney function improved
  • No liver function tests recently

Kidney Function Tests

The kidneys filter waste out of your body, regulate fluids and electrolytes in your body, and make urine. If your kidney function is abnormally high or worsening, your doctor may recommend dialysis. They kidney function can worsen due to dehydration, kidney problems, or urine obstruction. A lower level is better.

Prior Level
My Level
Normal
High
Very High

Your kidney function has improved.

Liver Function Tests

You have had no liver function tests recently.

Heart and Diabetes Tests

  • No heart tests recently
  • Good blood sugar control recently

Heart Tests

No heart tests recently.

Blood Sugar Tests

The blood sugar test Hemoglobin A1C is a test that helps your doctor track your blood sugars over the past 3 months. A lower number is better, but all patients with diabetes will have a higher number than patients without diabetes.

Prior Level
My Level
Normal Non-Diabetic
Good for Diabetes
High for Diabetes

Your blood sugar control has improved recently.

Here is your blood sugar control by your average daily blood sugar checks compared to last year:

Infection Tests

  • Urine tests show no infection
  • Blood cultures show no infection
  • X-Ray link can show results of x-ray for lung infection (pneumonia)

X-Rays, CT Scans

  • X-Ray shows no infection or heart problems
  • No recent CT scans

X-Ray

A chest x-ray is the first test done to look for lung infection (pneumonia).

Your x-ray shows no signs of pneumonia.

Ultrasounds

  • No recent ultrasounds

Heart Imagings

  • No recent heart imaging (Echo scan, stress tests)

Tissue Samples

  • No recent tissue samples (biopsies)

My Visits

    Hospital Admissions: 11/1/2012 - 11/9/2012 Diagnosis: Heart Failure

    Office Visits: 10/25/2012 Diagnosis: Heart Failure, Office Visit 9/25/2012 Diagnosis: COPD Exacerbation, Office Visit 9/14/2012 Diagnosis: Pneumonia, Office Visit 9/1/2012 Diagnosis: Diabetes, High Blood Sugar

  • Admission (11/1/2012 - 11/9/2012) Diagnosis: Heart Failure
  • Office Visit (10/25/2012) Diagnosis: Heart Failure
  • Office Visit (9/25/2012) Diagnosis: COPD Exacerbation
  • Office Visit (9/14/2012) Diagnosis: Pneumonia
  • Office Visit (9/1/2012) Diagnosis: Diabetes, High Blood Sugar