Guy "Kevin" Brackins 10/31/1957 Blood Type B+
Age: 67
8492 Pinacea Ln
Tallahassee, FL 32310-9080
850-960-4700
K4PCB is my ham radio call sign.
Emergency Contact: Tina Brackins (sister @ same address) 85o-867-two ' 7 three 7
Occupation Status: retired
Religion; Christian
Allergies: none known
Medications: Medications List.
Conditions: Obesity, OSA (Obstructive Sleep Apnea), insomnia, hypertension, hyperlipodemia, osteoarthritis (left knee , right hip), tinnitus, depression, diabetis (Type 2, controlled by diet), lower back pain, BPH, OAB, left inquinal hernia (9/16/24), skin cancer pT2a melanoma removed 5/23 (benign SNLB). Noncalcified 4m right kidney stone (6/7/24). '':" ' (6/7/24). Atherosclerosis (7/31/24). Diverticulosis (9/16/24). Multilevel degenerative disc disease and facet joint arthrosis.
Heart: Holter scan review 5/16/25. Echo (4/25/25), ECG (4/16/25), ECG (3/22/25, ECG (3/19/25), ECG (12/31/24). - First degree AV block, Left Anterior Fascicuqlar Block. CT lung screen (7/31/24) report. Dense coronary artery calcification is present. Distal aortic posterior wall calcified plaque. (9/16/24) X-Ray Report. Hypertension, hyperlipodemia. hypertriglyceridemia (HTG). Medications: Amlodipine 10, , Atorvastatin 40.
Skin: Dermatoporosis & Actinic Purpura ( 2021], 5/15/23 8 biopsies, 2 BCC, 3 SCC, 1 melanoma, 2 dysplastic nevi. 5/18/23 Melanoma, 1.5 mm Breslow thickness. T2a N1a, stage IIIA, right upper arm. Biopsy Report.. Removed 5/26/23 by Dr. Laurence Rosenberg (Plastics). Pictures, Pathology . Referred to oncology Dr. Scott Tetrault. Brain MRI 6/26/23. Pet scan 7/5/23, both images reported no cancer. SNLB pathology was inconclusive, followed up with PET scan 6/7/23. Follow up PET scan 6/7/24. Summary Report Brain MRI summary. 8/15/23- 2 dysplastic nevi removed from my back by Dr. Laurence Rosenberg. PET scan 11/9/23 NED but did show diverticulosus. Summary Report. Follow up chest MRI 6/17/24 radiologist report. Thyroid Ultrasound 7-2-24 radiologist report. THYROID BIOPSY 7/23/24 - benign. Actinic Keratoses, History of malignant melanoma (Z85.820) History of Severely Dysplastic Nevus, Neoplasm of Uncertain Behavior (10/8/24),
Orthopedic:
Joint Replacement: Right Hip Athroplasty 12/31/24, . TMH, David Bellamy, posterior approach, DePuy. Right knee (Stryker) 8/18/14. X-ray.
Lower Back: Very mild retrolisthesis of L1 on L2 and L2 on L3. Vertebral body heights are intact. Mild disc space narrowing at L3-4 and L4-5, moderate at L5-S1. Lower lumbar facet arthrosis. Distal aortic posterior wall calcified plaque. (9/16/24) X-Ray Report.
Left Knee: Severe osteoarthritis. X-ray
Past Surgeries & Procedures: Inguinal Hernia, left side, summary (7/22/25). Ureteroscopy with laser lithotripsy right kidney (3/11/25). Extracorporeal lithotrypsy right kidney (2/11/25). Right hip arthroplasty (12/31/24). 2x left indirect inguinal hernia, arthroscopy left knee medial meniscus, right knee athroplasty complete, T.UN.A. for prostrate, hemorrhoid surgery (2013), PCNL right kidney (2018), shockwave lithotripsy left kidney (2019). 5 carcinomas removed , Mohs surgery (5/18/23). 1 malignant melanoma removed & Lymphosintigraphy (5/26/23) document, Pathology. 7/5/23 PET Scan report.
Hospitalizations:
3/16/25 ER, post laser lithotripsy, AKI, UTI Pseudomonas aeruginosa, gross hematuria, anemia, body degenration, aFib. iv Cipro, Eloquis. Released 3/25/25 to Aspire inpatient therapy.
1/18/25: TMH ER: reoccurannce of UTI Proteus Mirabilis. 6 days. (compunded by snow / ice storm and home medication delivery. ). CT Urinary, stones in right kidney, urine culture, Ultrasound Kidneys, CT urinary. Home with meropenum t.i.d. 21 days.
12/31/24: TMH right hip arthroplasty & UTI. 4 days, home iv Invanz q.d.
5/26/23: Melanoma removed upper right arm, Lawrence Rosenburg. Pathology
Blood: Type: B+ (scroll down for blood test results.) List
CMP:
A1C: 4.9 (5/29/25), 5.2 (5/9/24), 4.9 (9/8/23), 5.3 (11/28/22)
PSA: 1.67 (7/8/25), 2.052 (8/15/24), 2.0 (5/9/24), 1.93 (9/8/23), 1.36 (11/28/22)
Kidneys:
Procedures: 3/11/25 Ureteroscopy, Holmium Laser Lithotripsy, right kidney, ureteral stent. Summary.
2/11/25 Shockwave Lithotripsy, right kidney, SUMMARY.
PCNL right kidney & Shockwave Lithotripsy left kidney (12/2018 - 01/2019).
Blood Pressure:
Immunizations &Vaccinations: TDep & Flu-Fluzone high dose (10/8/24). Pnuemonia, Prevnar 20 (11/01/24). Covid (2021)
Last Colonoscopy: 12/28/23; 4mm polyp removed & 1 biopsy, Document ; 3/5/20. [Diverticulitis 2x > 7years.]
Weight: 251 (4/30/25), 257 (3/29/25), *253.6 (3/11/25), 251 (12/31/24), *251 (12/26/24), 259 (12/16/24), 1257 (11/28/24), *259 (11/12/24), *266 (10/23/24), *276 (10/10/24), 282 (10/8/24), *281 (10-6-24), 292 (9/25/24), 289 (9/16/24), 294 (9/5/24), 294(8/26/24), 285 12/28/23. 295 9/7/23, 312 6/25/23; 314 (6/13/23), 318 (6/9/23 started Ozempic); 319 (2/8/2023) *=Home Scale (naked) pretty accurate.
Height: 5'7" (5'9.5" @ age 21)
BMI: 39.3 (12/26/24), 40.6 (11/12/24), 41.7 (10/23/24), 43.2 (10/10/24), 44.2 (10/8/24), 44.6 (9/16/24). Calculator
Falls: 7/6/25 Fell getting out of tub, contusion right shin. 3/16/25 rolled out of bed, FD got me up, transported to TMH ER, UTI, Afib, anemia, body degredation. 3/14/25 Fell in bathroom transitioning to toilet, FD got me up, stayed home.
Distinguishing marks: Missing tip of right index finger. 6" surgery scar over right proximal knee, 6" surgery scar right lateral upper arm. 8" scar right hip arthroplasty - posterior.
EYES: 10/7/25 Prescription Stanton Optical
Medications List @Pharmacy, Chronic meds:
PillPack (an Amazon Pharmacy)
NPI number 1295193324
E-Scribe: NCPDP 3061582
(855) 745-5725
Amazon Pharmacy #003
8725 NW, 13th Terrace
Miami FL 33172
PRN & Temporary Meds
Publix Pharmacy at Ocala Corners (Store #782).
800 Ocala Rd.
Tallahassee, FL 32304
850-575-6997
NPI: 1225078603
Dr. Nowosielecki: PCP
Lisinopril 20mg - Angiotensin-Converting Enzyme (ACE Inhibiter) Hypertension. Side Effects.
**Amlodipine 10mg - CCB - Calcium channel blocker. Hypertension, Coronary artery disease. Side effects.
Atorvastatin 40mg - Statin. HMG-CoA reductase inhibitor. Cholesterol & Triglycerides. Side effects.
Fluoxetine 40mg - SSRI antidepressant. Selective Serotonin Reuptake Inhibitor.
Trazadone 100mg q.d. - serotonin antagonist and reuptake inhibitor (SARI) class. Side effects.
Dr. Sarvis: Urology
Fesoterodine 8mg q.d. - antimuscarinic agent x- Document
Tamsulosin 0.4mg b.i.d. - (generic Flomax) Alpha Blocker. Bladder relaxer. Alpha-1 adrenergic receptor antagonist.
Trospium 20mg- b.i.d. - Muscarinic antagonist. OAB, Urgency.
Potassium Citrate 10 meq b.i.d. - used to treat a kidney stone condition called renal tubular acidosis. Lower urine pH to decrease stone formation.
Fesoterodine 8mg q.d. - Document 2/25/25
** Trying to find biggest culprit in my dry mouth.
SUPPLEMENTS:
Pause- Probiotic - 30 billion, 13 strains q.d.
Pause- Multi Vitamin - Centrum Silver 50+ q.d.
Pause- Fish Oil - 1200mg (contains 720mg Omega-3) q.d.
Pause- Beet Crystals - 3 tsp b.i.d.
Pause- Glycine Powder - 1 tsp b.i.d.
Pause- NAC - N-Acetyl Cystine 3x600mg q.d.
Medication Changes
Nowosielecki:
Stop mirtazapine 15mg 7/26/24 (depression, sleeping). Start hydroxozine
Stop Hydroxozine HCL 50mg 8/24/24 (depression, sleeping). Start Trazadone 50mg.
Stop Meloxicam 15mg - NSAID. Take Tylenol 1000mg q.i.d.
Stop HCTZ 12.5mg
Stop Tylenol 12/25
Start Bactrim 12/19/25 uti de. Moralis. Stop 12/24.
Stop metoprolol 2/17/24.
Metoprolol Succinate 12.5 mg ER - Beta blocker. Hypertension, to slow heart rate. Side effects.
SARVIS:
Start Ciprofloxacin 12/24/24 Stephanie P.A. 500mg b.i.d. 7 days
Stop Ciprofloxacin 12/25/24
Stop Myrbetriq 50mg, start Fesoterodine ER 8mg 2/25/25
TMH START IV Invanz 12/31/24
TMH STOP IV Invanz 1/10/24
Philbert Ford MD: (infectious disease) start meropenem 1/18/25
Stop Meropenem 2/23/25
** I'm on Ace Inhibitor, Alpha Blocker, Calcium Channel Blocker, Statin, SSRI & SARI, , beta-3 adrenoceptor agonist, Muscarinic antagonist, Potassium salt, Vitamin D.
Past diseases: chicken pox, measles
Covid Vaccines: Document
Flu Vaccine: 110/8/24 Fluzone HD, 2/2021
Vaccinations: Tdap 10/8/24,
Diet: Keto
Smoke: Vape
Alcohol: No
Recreational Drugs: No
Tallahassee Memorial Family Medicine Residency Program
1301 Hodges Dr
Tallahassee, Florida 32308
850-431-5430
Treats: hypertension, hypercholesterolemia, hypertriglyceridemia, diabetis, osteoarthritis, depression.
7/26/24- Dr. Bartlomiej Nowosielecki, pre surgical evaluation. EKG & blood work, ordered CT lung scrren for cancer. Start hydroxozine.
7/30/24 Blood draw Quest
7/26/24 Dr. No not in, saw Kacheris. ordered lumbar xray (report) & referred to sleep specialist. BP 124/70, Weight 294. Recommends magnesium glycinate 200mg for sleep.
7/31/24 CT LOW DOSE LUNG SCREENING FOR LUNG CANCER report. Lung Rads score 1. Stop mirtazapine - 4000mg of acetomenaphin per day, Stop Hydroxozene - start Trazadone 50mg.
9/5/24 294# 118/70 bp. Dr. No, take fluoxetine in morning. , st
Stop Meloxicam - start 4000mg of acetomenaphin per day, - Trazadone 50mg. Summary
10/8/24 282# 108/62 ♥️ 61. Tdep & Flu vaccine. Increase trazadone from 50 to 100mg. Take 1000mg of Tylenol T.I.D. . Drop HCTZ & potassium. Quest for Mg test. Follow up in 3 mos. TDep & Flu (Fluzone high dose). Care Summary.
10/28/24 Nurse visit - to compare my home BP machine and glucometer. I am replacing both units.
10/30/24 Visit about high acid saliva, dry mouth and constipation. Summary
11/01/24 Yearly wellness exam. Pnuemonia vaccine Prevnar 20. Odered abdominal aorta ultrasound, scheduled for 11/13/24. obstain from Myrbetriq & HCTZ for 2 weeksto evaluate dry mouth. Started mybetriq 1 week later as incontenance became intolerable. Blood test for hiv, hep- a, hep-b. Report
12/18/24 urgent care Dr. Elias Moreno. complaints; trouble urinating, burning pain, cloudy urine. Dipstick urinalysis, kidney function normal but elevated nitrites, sent sample for culture. results by 12/24/24. Prescribed SMZ-TMP DS (Bactrim) (sulfamethoxazole and trimethoprim 800/160) 1x b.i.d. culture results: Proteus
Mirabilis, Report. Switched med to Augmentin 12/25/24. started taking 12/26/24. Right Hip Athroplasty 12/31/24 urine culture showed resistant to Augmentin, in hospital 4 days with IV antibiotic Ivanz. Home therapy on IV Ivanz (Enterpenem) 1g, q.d. for 7 days, started 12/4/25.
1/17/25 Stop Metoprolol.
3/3/25 Post Hospital Follow-Up. Summary , MyChart Summary.
3/16/2025 Hospital ER admission, discharged 3/35/2025. AKI, gross hematuria, A-fib, UTI Pseudomonas Aeruginosa, body degradation, anemia.
4/28/25 Post Hospital Follow-Up. Stay on amlodipine only for BP, home monitor BP.
A1C 4.9 (5/29/25)
6/3/25 Start lisinopril 5mg, urine dipstick, urine culture report, PT Referral. CBCw/diff
6/6/25 Started Levofloxacin 500mg 28 days for UTI Psuedomonis.
7/13/25 follow up. Clinical Review
** 7/9/25 meesage from Dr. No to take 500mg Levofloxacin q.d. 10 days, as prescribed by Dr Sarvis Urologist
9/18/25 Cloudy urine, asked Dr to go ahead and get an abdominal and pelvic CT. Results
Urology Lab results from this collection day; Report
Advanded Urology Institute
2000 Centre Pointe Blvd
Tallahassee FL 32308
Office: (850) 972-9990
Treats: OAB, enlarged prostate.
Prescribes: Myrbetriq, potasium citrate, Tamsulosin, Trospium, XXSolifenacin Succinate.
3/31/23 bladder ultrasound, prescriptions.
8/14/23
12/15/23 Bladder ultrasound, prescriptions.
5/15/24 Bladder ultrasound, prescriptions.
8/15/24 PSA blood draw, PSA 2.052
8/15/24 ordered prostate MRI. Performed 9/16/24 benign. Report.
10/14/24 277#, 35ml retention. Routine visit, no med changes or test ordered. Next appt. 4/16/25
12/23/24 Stephanie Derouin P.A. UTI follow up from PCP. Urine still cloudy after 4 days. changed med from Bactrin to Ciprofloxacin 500mg b.i.d. , ordered culture.
12/29/25 Dr. Sarvis: follow up from hospitalization, UTI Proteus Mirabilis. Scheduled lithotripsy right kidney.
2/11/25 Extracorporeal Lithotripsy right kidney SUMMARY.
2/21/25 Post Lithotripsy follow up Summary. Ureteroscopy scheduled 3/11/25. Stop Mybetriq, start Fesoterodine 8mg b.i.d.
3/11/25 Ureteroscopy, Holmium Laser Lithotripsy, right kidney, urethral stent. Summary. gross hematuria
3/13/25 Scott Lewis P.A. complaining of gross hematuria, urine culture with resistance. (ER admission 3 days later 3/16/25 - 3/25/25)
4/24/25 Urinary Ultrasound. Report
5/14/25 Follow up, adjust medications, prescriptions.
8/14/25 check up, reviewed kidney stones, xray, urinalysis with culture (Psuedomonis >100,000) Culture report.
9/5/25 Recieved call from Nurse that Sarvis prescribed Levaquin 500mg 10 Days. had UA at PCC ON 9/3/25, will wait for his assesment.
Jason Lash PA-C
Tallahassee Orthopedic Clinic
3334:Capital Medical Blvd
Tallahassee, FL 32308
850-877-8174
7/1/24- Initial visit, review of right hip for surgery document. Sent Pre Surgical eval to DR. Nowosielecki. X-ray hips, X-ray knees.
11/11/24- pre-surgical meeting. Summary. prescribed cefadroxil 500, oxycodone 5, tramadol 50, Ecotrin 325.
11/14/24 pre-surgical registration at TMH. Surgery scheduled 11/21/24. Surger postponed till 12/31/24 from open wound on back.
12/31/24 Right Hip , DePuy S-ROM. Discharged 1/3/25, UTI complications. Operative Report. ECG Report.
2/24/25. Bellamy follow up post surgery. x-ray of right hip and left knee.
4/28/25 Jason Lash P.A. - follow up, discussed scheduling left knee athroplasty. prescribed knee brace, cortisone shot in left knee.
7/16/25 Jason Lash P.A. - cortisone left knee and left sholder, x-ray left sholder. Summary
Dermatology Associates of Tallahassee
+1 (850) 877-4134
1626 Riggings Rd.
Building F
Tallahassee FL
Treats: Skin conitions, T2a N1a, stage IIIA Melanoma, upper right arm. Removed 5/26/23 by Dr. Laurence Rosenberg at TMH.
Neoplasm of Uncertain Behavior (D48.5) Actinic Keratoses (L57.0) History of malignant melanoma (Z85.820) History of Severely Dysplastic Nevus (Z87.2) MIPS () Neoplasm of Uncertain Behavior (D48.5) Neoplasm of Uncertain Behavior (D48.5)
5/15/23 - Skin check w/ 8 biopsies.
5/18/23 -3 BCC, 2 SCC, 2 atypical moles, 1 melanoma. Document Pictures. 5 carcinomas removed (Mohs Surgery) by Dr. Vladimir Ratushny MD Derm. Closing performed by Laurence Z. Rosenberg MD Southeastern Plastic Surgery. Lab Order.
9/7/23 - Dr. Soni - 6 shave biopsies.
9/26/23 - Dr. Soni - 2 deep shave on back dysplastic nevi and 1 WLE behind right knee for severe dysplastic nevus.
12/14/23 - 4 biopsies on back, 1 on right sholder.
1/3/24 - WLE dysplastic nevus mid back, right side 12 stitches.
1/24/24 - stitches removed.
4/15/24 - 3 biopsies, 2 on back, 1 under fat flap, right underarm abdomen (all benign).
9/19/24 - 6 biopsies, 1 on left cheak, 5 on back.
10/08/24 - 2 dysplastic nevi removed 10/8/24. 1 excised, 1 shaved.
10/22/24 - Kendall Wells - Stitches removed. Prescribed muperocin 2% as topical antibiotic.
11/12/24 Erica Calil PA- observed open incision, keep applying antibiotic. wait to heal. Doxycyclene 100mg b.i.d. 7 days
4/28/25 Skin Check, 6 biopsies, prescription cream for eczema.
8/19/25 Shave Excision upper left back
TMH physiscisn Partners / Southern Medical Group
2100 Centerville Rd
Tallahassee FL 32308
Phone: (850) 216-0100
Fax: (850) 216-0138
Treats: Afib
4/16/25 Post Hospital Visit - ECG 12Lead, Sinus Rythm, prescribed cardiac event monitor (Zio AT), echocardiogram. Quit taking Lisonopril & Metoprolol. Notes , Summary
4/24/25 Echocardiogram Report. Cardiac even monitor Zio AT installed (came off 4/26)
5/1/25 new event monitor (Zio AT) installed. 28 day monitoring.
5/16/25 Phone call Holter scan review 5/16/25 days 1-2 of 28 day.
6/9/25 Phone call, Holter review days 3-14:of 28 day. A priod of 4.2 seconds of no beat. Check with Pulmonary about CPAP settings. Report, Document from Zio
TMH Physician Partners, Sugery
2030 Fleischmann Road
Tallahassee FL 32308
(850) 409-6473
6/24/25 Initial contact to schedule Hernia repair.
7/22/25 Inguinal Hernia: left indirect, TMH Mustian Ctr. Clinical Notes.
8/6/25 2 week post op. Clinical notes.
8/27/25 check for lump in left groin (said it was hematoma. Clinical notes.
9/25/25 CT abdominal & pelvic to check for hernia. Report
Southeastern Plastic Surgery
2030 Fleischmann Road
Tallahassee FL 32308
(850) 409-6473
Treats: lymphoma removal
5/26/23: Remove T2a N1a stage IIIA, melanoma from right upper arm and lymph node biopsy (lymphoscintigraphy 3 nodes) @ Tallahassee Memorial Hospital - outpatient. TMH Blood Test. Pathology.
8/15/23 2 dysplastic nevi removed. 7/9/23 Stitches removed, review pathology.
Florida Cancer Specialists
2351 Phillips Rd.
Tallahassee, FL 32308
850-877-8166
6/22/23 Initial visit: scheduled brain MRI with and without contrast for 6/26/23 and pet Scan on 7/5/23. All scans negative.
7/20/23 Summary2
11/9/23 Follow up PET scan NED but did show diverticulitis. Summary Report.
6/7/24. Follow up PET scan Summary Report. Brain MRI 6/10/24 summary report. 6/17/24 Follow up chest MRI, Summary report.
6/17/25 MRI Brain - Terreault - Summary Report
6/19/25 PET SCAN full body - Tetreault - Summary Report
Ben Shiver, PA
(850) 878-8714
Tallahassee Pulmonary Clinic
1607 St. James Ct.
Tallahassee FL
Treats: OSA (sleep apnia) CPAP (new machine 7/1/22)
9/26/23 Dr. Thabes for 1 year follow up.
9/25/24 Ben Shiver, 1 yr follow up, scheduled lung CT for 8/2025.
Next appt. Dr. Thabes 8/19/25
9/19/25 Ben Shiver, reviewed CPAP pressures requested by Dr. Krothapalli. Gave me a
sample mask Fischer & Paykel, Solo mask. Visit Notes
7/16/25 lung CT
11/6/25 Ben Shiver PA: previous CT abdomen & pelvis, not suffiecient; sent in orders for lung CT.
Digestive Disease Clinic
2400 Miccosukee Road
Tallahassee FL 32308
(850) 877-2105
12/6/23 initial consult from abnormal GI on Pet Scan (Diverticulosis and wall thickening on colon). Summary Document.
12/28/23 colonoscopy, 4mm tubular adenomas removed. Biopsy no cancer. Document
1/18/25: TMH ER for reocurring UTI, Proteus Mirabilis, 6 days in hospital on IV Meropenem t.i.d.. Saw ARNP in hospital. Home IV Meropenum 21 day t.i.d.
Prescribed Meropenem 1g / 100ml NS, 200ml/hr flow rate.
2/6/25: follow up with Dr. Ford. Extended 14 days of meropenem to cover delay in lithotrypsy.
Tallahassee Podiatry Associates
+1 (850) 878-6998
Treats: nail trim
Last visit: 6/12/24 Nail trim; 5/9/23 Nail trim.
Tallahassee ENT
2625 Mitcham Drive
Tallahassee FL 32308
850-877-0101
9/12/23: Initial Visit: Consultation for Afrin dependancy.
7-2-24 Thyroid Ultrasound radiologist report. No office visit. Was sent pet scan results from 6/7/24.
7/23/24- Thyroid biopsy, benign. No office visit. Pathology Report
8/27/24 Followup on thyroid, ultrasound in 1 year.
2/18/25. Off Afrin (ocymetazaline) for 4 months. Scoped nose to examine Turbinates & Adnoids. Everything good.
7/9/25 Ultrasound thyroid Report
Stanton Optical Exam Prescription 0/7/25
Dr. Trafton
Eye Associates of Tallahassee
2020 Fleischmann Rdj
850-878-6161
6/28/23 Initial visit, retina exam and dialation, prescription
7/10/24 retina exam, dialation, no new perscription.
E-Scribe: NCPDP 3061582
(855) 745-5725
Amazon Pharmacy #003
8725 NW, 13th Terrace
Miami FL 33172
06/07/24 PET CT Whole Body Dr, Tetreault
06/10/24 MRI Head with and without contrast. Dr. Tetreault
06/17/24 MRI CHEST with and without contrast. Dr. Tetreault referred to Dr. Whittaker
07/02 ULTRASOUND, THYROID/SOFT TISSUE NECK. Dr. Whittaker
07/23/24 ULTRASOUND GUIDED NEEDLE PLACEMENT/ASPIRATION & FINE NEEDLE ASPIRATION W/ IMAGING GUIDANCE_FIRST LESION. Dr. Whittaker
07/31/24 CT LOW DOSE LUNG SCREENING FOR LUNG CANCER. - Dense coronary artery calcification. - Dr. Nowosielecki
9/16/24 Lumbrosacral Spine ap & lat X-ray order, report. Dr. Kacheris - Dr. Nowosieleck
9/16/24 MRI Prostate w/wo contrast. Benign 9/20/24. Report. Dr. Sarvis
11/13/24 Abdominal Aorta Ultrasound. Report
12/31/24 TMH Chest X-ray. Document
12/31/24 TMH Right AP and Lateral with Pelvis. Report
1/18/25 TMH Chest AP. Report
1/19/25 TMH US Renal. Report
2/21/25 TMH CT Urinary. Report
2/24/25 TOC Bellamy right hip & left knee.
3/16/25 TOC CT URINARY PELVIS w/o contrast Report
4/24/25 Ultrasound Urinary AUI Report
4/24/25 Trans thoracic Echocardiogram Krathapali Report
6/17/25 MRI Brain - TDI - Tetreault Summary Report
6/19/25 PET SCAN full body - Tetreault - Summary Report
7/9/25 Ultrasound Thyroid - Whittaker Summary
7/16/25 Left Shoulder TOC
7/16/25 Low dose Lung CT Ben Shiver
9/25/25 CT pelvic and adominal w/o contrast. Nowosielecki. Report
PET SCAN 6/7/24 noted:
FDG avidity in the right Subscapularis muscle. this led to a Chest MRI (benign)6/17/24. Chest MRI noted a 3.5cm nodule on right thyroid, leading to thyroid ultrasound 7/2/24 and a thyroid needle biopsy (benign) 7/23/24.
Mildly enlarged prostate gland with punctate focus of FDG avidity involving the inferior aspect of the left peripheral zone, S U max of 4.0. urologist ordered prostate MRI 7/16/24. Pending.
Noncalcified 4m right kidney stone. Bilateral cystic lesion of the kidneys.
Following right hip surgery scheduling 7/1/24
PCP ordered a chest CT screening for lung cancer (benign) 7/31/24. Noted: Dense coronary artery calcification is present. 4 mm nodule in the dorsal left upper lobe. In the left upper lobe, small 5 mm nodule.
12/31/24 TMH Chest X-ray.
Father: Deceased
Had 1 kidney removed in his 20s, likely due to kidney stone.
Diabetic controlled by medication (not insulin dependent)
Obesity, hypertension, hyperlipodemia, colon cancer.
1924-1991 died of colon cancer.
Mother: Deceased
Obesity, Hypertension, Arthritis.
1926-1992 died of congestive heart failure.
Sister: Living
obesity, historectomy
1959- Living
Previous PCP: DR. Brian Kacheris & Dr. Justin McFall 3/24-5/24
Tallahassee Memorial Family Medicine Residency Program
First Visit: 3/28/24 meet and greet with Kacheris
5/7/24- prescription refill, taking me off Montelucast & 80>40 Prosac. Did not refill Ambien script.
5/30/24 changed PCP to Dr. Justin McFall (resident) [Daniel Matta (attending)] got ambien script for 30 days.
Old PCP: Dr. Ismail Zabih 1995-2024
Panama Internal Medicine
Suite 1111 Panama City Beach Parkway
Panama City Beach FL 32407
Office: (850) 234-5151
Treated: hypertension, hyperlipodemia, obesity, depression, osteoarthritis, diabetis (currently controlled by diet.)
Prescribes: All meds except as per urologist
Last Visit: 2/12/24 refills. 09/19/23 refills. 04/10/23 gonna try Ozempic, 11/9/22
2/9/23 - 5/23/24
Mark Fahey, MD
Tallahassee Orthopedic Clinic
(850) 757-0637
2605 Welaunee Blvd
Tallahassee, FL 32308
No surgeries from this provider.
Treats: osteoarthritis in right hip and left knee.
Date: 2/9/23 hydrocortisone injection left knee. INJECTION TRIAMCINOLONE ACETONIDE NOS 10 MG
Clinical Study participant: FSU study00002522 osteoarthritis pain management 02/23-03/23
Past:
Right knee athroplasty. Had knee surgery Mon 8/18/14 8am
Dr. David Dietrich, Panama City , FL.
Hospital: Gulf Coast, Panama City, F
Current:
Urologist: Dr. Jamie Sarvis
Office: (850) 972-9990
Advanded Urology Institute
2000 Centre Pointe Blvd
Tallahassee FL 32308
No Current Procedures, just treatment for Enlarged Prostrate and OAB
Past:
Dr. Carlos Ramos
Advanced Urology Institute
(850) 785-8557
500 W 11th St.
Panama City, FL 32401
TUNA: 12/07/2009 Trans Urethal Needle Ablasion
Shockwave Lithotripsy, left kidney: DATE
PCNL, right kidney: 11/15/2019
Dr. Michael Jenkins
Dr. Sudhakar Reddy
Digestive Diseases Center
204 E 19th St, Panama City, FL 32405
(850) 397-4355
Last Colonoscopy: 3/5/2020
Hemorrhoids
Dr. Naguib Moussa
Panama City FL
Gulf Coast Hospital
Date: app 2014
Left Indirect Inguinal Hernia
Dates: app 1976 (Harrisonville Mo) & 1987 (Dothan AL)
Right index finger: lost tip of finger in 1976 in an industrial accident at an egg carton manufacturing plant, Macon Ga.
Hemorrhoids
Dr. Naguib Moussa
Panama City FL
Gulf Coast Hospital
Date: app 2014
Left Indirect Inguinal Hernia
Dates: app 1976 (Harrisonville Mo) & 1987 (Dothan AL)
Right index finger: lost tip of finger in 1976 in an industrial accident at an egg carton manufacturing plant, Macon Ga.
Dr. Barton Lewis, MD Psychiatrist
Life Management Center of NW FL
525 East 15th Street, Panama City, FL 32405
(850) 522-4485
Steve Norman, Psychologist
Treatment for depression app. 2017-2019
Pharmacy, Chronic meds:
PillPack (an Amazon Pharmacy)
NPI number 1295193324
E-Scribe: NCPDP 3061582
(855) 745-5725
Amazon Pharmacy #003
8725 NW, 13th Terrace
Miami FL 33172
PRN & Temporary Meds
Publix Pharmacy at Ocala Corners (Store #782).
800 Ocala Rd.
Tallahassee, FL 32304
850-575-6997
NPI: 1225078603
Dr. Nowosielecki: PCP
Eliquis 10mg b.i.d.- blood thinner.
Lisinopril 10mg - Angiotensin-Converting Enzyme (ACE Inhibiter) Hypertension. Side Effects.
Amlodipine 10mg - CCB - Calcium channel blocker. Hypertension, Coronary artery disease. Side effects.
Atorvastatin 40mg - Statin. HMG-CoA reductase inhibitor. Cholesterol & Triglycerides. Side effects.
Fluoxetine 40mg - SSRI antidepressant. Selective Serotonin Reuptake Inhibitor.
Trazadone 100mg q.d. - serotonin antagonist and reuptake inhibitor (SARI) class. Side effects.
Dr. Sarvis: Urology
Fesoterodine ER (Toviaz) 8mg q.d. - antimuscarinic agent x- Document
Tamsulosin 0.4mg b.i.d. - (generic Flomax) Alpha Blocker. Bladder relaxer. Alpha-1 adrenergic receptor antagonist.
Trospium 20mg- b.i.d. - Muscarinic antagonist. OAB, Urgency.
Potassium Citrate 10 meq b.i.d. - used to treat a kidney stone condition called renal tubular acidosis. Lower urine pH to decrease stone formation.
Blood Test 7/30/24 Quest - Dr. Nowosielecki (PCP), CMP, aPPT, INR, CBC.
PSA Test 8/15/24 PSA=2.052 Advanced Urology - Dr Sarvis, PSA
Magnesium Test 10/8/24 = 1.9 ( NR 1.5-2.5 mg/dL) Dr. Nowosieleck (PCP)
Blood test for hiv, hep- a, hep-b 11/1/24. Labcorp Dr. Nowosielecki.
Blood test and Urine - Labcorp Dr. Philbert Ford 2-3-25
Blood test CBC w/diff, meto and Urine - Labcorp Dr. Philbert Ford 2/10/25
Blood test CBC w/diff and Urine - Labcorp - Dr. Philbert Ford 2/17/25
CBC w/diff, Krothopalli 4/29/25
A1C: 4.9 (4/29/25)
CBC w/diff (6/3/25) Nowosielecki
PSA 1.67 Nowosielecki (7/8/25)