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Tesia's Medical History and Chart Last Updated: 8/9/2010 9:02:45 PM
Basic Info
Vitals
DOB 12/28/1999
Height 49"
Weight 72lb / 32.6kg
Blood Type b+
Resting Heart Rate 80-100
Active Heart Rate 100-130
Resp Rate 15-30
bp 110/65
Current Symptoms Occasional difficulty falling asleep
Current Observations Mood remains improved and is much more stable. Falling aleep at night can still be difficult on occasion, but is much more managable than before, and once she falls asleep she does stay asleep without the assistance of any additional medication. Metadate was introduced in replacement of Concerta, since we noticed a need to continually increase doses of Concerta to gain extended release effects into the afternoon. Metadate seems to be handling this much better throughout the day. Stool is soft, no longer needing Mag Oxide to maintain consistency. Stomach size down slightly but relatively unchanged (24.5"-26"). Memory retention/recall continues to improve. Overall health is excellent.
Allergies Omnicef, insect bites
Medications
Seroquil 100mg h.s.
Clonidine 0.3mg h.s.
Allegra 30mg o.m.
Lisinopril 5mg o.m.
Metadate CD 30mg o.m.
Invega 6mg o.m.
Epi pen as indicated anaphylactic shock
Labs and Tests
Test DateOrdering PhysicianTest NameResults*
02/24/2010John Stock MDECHOIncreased pressure across the pulmonary vessels, indicating constriction possibly associated with normal body growth and lack of vessel growth from prior heart surgeries. Tesia will need a cath consult for further direction.
01/18/2010Kelvin Panesar, M.D.Sinus CTNormal
01/13/2010Kelvin Panesar, M.D.Chest XRayNormal
07/13/2009Dr. John StockEchoTest showed progressive narrowing in the pulmonary vessels, but nothing life-threatening or catastrophic. At next year's appointment, or if symptoms of exercise intolerance or lethargy present even while on Lisinopril, we will return to conduct an MRI, perform metabolic stress testing, or consider a repeat catheterization.
07/11/2008Dr. Eric BenjaminEEGTest showed some unusual waveform activity, which could be related to excessive sedation at night. Test was re-run after removal of the sedatives and appeared normal.
07/09/2008 PCH ER Head CT Test showed ventriculomegaly, some CSF reduction in ventricles, enlarged skull, no sign of bleeding, tumor or malignancy. Test was unchanged from April 2008 head MRI.
04/01/2008 Dr. Janet Teodori Head MRI Test showed ventriculomegaly, some CSF reduction in ventricles, enlarged skull, no sign of bleeding, tumor or malignancy. Results were consistent with expected outcome of all of her prior surgeries and complications.
02/22/2008 Dr. Panesar Barium Swallow Test showed normal function for multiple textures and liquids.
02/14/2008 Dr. Mancuso Hearing Test Test showed normal function for both ears.
09/14/2007 Dr. Panesar Bronchoscopy Moderate tracheomalacia and inflamed nasal turbinates. Referring to ENT for nasal issue.
02/23/2007Dr. PanesarVQ ScanNormal
02/12/2007PCH CardiologyEchocardiogramSome narrowing across the pulmonary vessels, otherwise normal
02/12/2007PCH CardiologyEKGNormal
02/12/2007PCH Pediatric staffCBC, T4, Chem7T4 slightly elevated, all others normal
11/01/2006Dr. StockCardiac CathSVC occluded, slightly elevated pressure across aortic valve, all other pressures and volumes normal
* Results as interpreted by parents from physician at time of test or lab result review.
Prior Surgeries and Procedures
Procedure DatePhysician/SurgeonProcedure
03/15/2010Dr. John StockCardiac Catheterization, Inserted Stent into Pulmonary Artery
07/16/2009Dr. John StockRoutine Echo and EKG
09/01/2007Dr. Kelvin PanesarBronchoscopy to determine etiology of air hunger signs and symptoms
09/01/2007 Dr. Panesar Bronchoscopy to determine etiology of air hunger signs and symptoms
11/15/2006Dr. John StockCardiac Catheterization
11/01/2006 Dr. Stock Cardiac Catheterization
05/01/2006 Dr. Robledo PE tube insertion
09/01/2005 Dr. Robledo PE tube insertion
05/01/2004 Dr. Robledo PE tube insertion
09/01/2003 Dr. Robledo PE tube insertion
01/01/2003 Dr. Jennings Dental surgery to correct damaged and decaying teeth (all but three were affected)
06/01/2002 Dr. Robledo PE tube insertion
05/01/2002 Dr. Legris Bronchoscopy and decannulation
09/01/2001 Dr. Raines PE tube insertion
08/01/2001 Dr. Legris Surgery to remove granulomas, polyps, and rule out Aortic Arch syndrome. Vessel was actually one from her right arm that passes in front of her airway
06/01/2001 Dr. Legris Bronchoscopy due to aortic arch syndrome and granuloma/polyp growth
05/01/2001 Dr. Legris Bronchoscopy to determine if decannulation possible...deemed not possible
10/01/2000 Dr. Raines PE tube insertion
05/01/2000 Dr. McGill Tracheostomy from prolonged intubation and ventilation
04/01/2000 Dr. Teodori Chest tube insertion/removal
04/01/2000 Dr. Teodori Bilateral lung decortication and ligation of thoracic duct to stop chylothorax
03/01/2000 Dr. Teodori Chest tube insertion/removal
03/01/2000 Dr. Teodori Chest tube insertion/removal
03/01/2000 Dr. Teodori Open lung to decorticate left lung from chylothorax
03/01/2000 Dr. Teodori Chest tube insertion/removal
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Physician Contact Info
PhysicianSpecialtyPhone NumberLocation
John Stock MDCardiology(480) 969-0052Phoenix (PCH)
Sudah Chandresaker MDPediatrics(480) 963-6668Chandler
Kelvin Panesar MDPulmonology(480) 614-6655Scottsdale
Michael Teodori MDThoracic Surgery(602) 546-0200Tucson
Robert Mancuso MDEENT(480) 497-7800Mesa
Kristy Ingebo MDGastroenterology(602) 546-0940Phoenix
PLEASE CALL ALL PRESCRIPTIONS TO:
Safeway Via Linda (480) 451-1177