Eva Bristow - Status


Eva Bristow

URL: http://www.kyphilom.com/www/med/eva0621.htm
web page by Duane Bristow
and
http://www.kyphilom.com/www/med/eva19647.htm
Medical Record by Duane Bristow

Demographics

Eva Bristow
73 Old Cowan School Road
Albany, KY 42602
606 387-5884 & 606 306-3521

Date Of Birth: 11-09-1946
Sex: female
Height: 5' 3"

Spouse: Duane Bristow
email: duane@kyphilom.com

  
 
  
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  

Status 06-21-17:

Eva Bristow is a 70 year old female who has had a lumpectomy followed by radiation and chemotherapy for breast cancer in 2004 and now is diagnosed with rheumatoid arthritis and mild cases of pulmonary hypertension and bronchiectasis as well as diastolic dysfunction. The cancer treatments have resulted in ongoing gastrointestinal problems and low grade anemia. She also is overweight and is sleepy during the day and complains of restless legs at night and has hypertension and a low level of type II diabetes probably caused by use of steriods for her rheumatoid arthritis. She also has bladder problems (interstitial cystitis) and her cholesterol levels are high without medication. She uses a nebulizer twice a day with Albuterol and Brovana and Budesonide to alleviate breathing problems due to the bronchiectasis as prescribed by her pulmonologist. She has noticed sinus problems and some back pain and coughing which she attributes to the nebulizer treatments.

After a childhood of recurrent pneumonia and lung problems she had a medically uneventful adulthood except for two children born by c-section. About the age of 45, in the early 1990s, she developed high blood pressure which took several months to bring under control due to the need to find a very specific medication regime which worked for her. Later in that decade she developed osteoarthritis expressed as pain in the knee joints which limited her ability to get exercise by walking and gardening which probably resulted in her subsequent weight gain.

She has a family history of asthma and breast cancer and in 2004 she was diagnosed with breast cancer in the left breast. This was treated with a lumpectomy followed by chemotherapy and radiation. After this she was afflicted with gastrointestinal problems and low grade anemia and restless legs.

She had total knee replacements in 2007 and 2011 and during this time was diagnosed with rheumatoid arthritis. After these surgeries she was still unable to exercise vigorously due to breathing difficulties.

In 2014 she was diagnosed with mild sleep apnea.

It is thought that the bronchiectasis is probably a result of her childhood bouts with lung problems and the diastolic dysfunction was probably caused by the period of time in which her hypertension was out of control. The lung problems and the cancer can probably be partially attributed to a genetic predisposition.

Beginning at the end of September 2016, she noticed pressure in her chest and abdomen and more than usual difficulty breathing and weight gain as well as increased heart rate.

After extensive medical tests over the following 7 or 8 months, the conclusion was that Eva did not have any specific diagnosis that was life threatening or even would be a significant threat to her quality of life, but that the combination of all her problems together was significantly decreasing the quality of her life primarily due to problems breathing caused by fluid retention and lack of ability to lose weight, lack of energy, sleepiness, and gastrointestinal, bladder and restless leg problems as well as attacks of rheumatoid arthritis.

In the summer of 2017, Eva began to have skin problems expressed as reddened, irritated splotches on her neck, below her right breast, on the right of her stomach at the leg bend, around her mouth, and also vaginal itching. This was found to be due to psoriasis and was treated with skin creams. The problems with the mouth were diagnosed as perioral dermatitis.

In addition to the above problems, Eva has also had a pinched nerve in her neck resulting in pain in her right arm and has low bone density.

The Cimzia treatment which is necessary to reduce Eva's rheumatoid arthritis attacks also compromises her immune system so that she has infections that require hospitalization and large doses of antibiotics once or twice per year. These antibiotic treatments tend to upset the probiotic balances in her digestive system so that a prolonged period of probiotic replacement, which is problematic due to general lack of knowledge about the interactions among various species of intestinal flora and fauna, is necessary to get her back to what, for her, passes for normal gastrointestinal processes.

Poor administration of the medications and diet that she requires for daily living by the staff in hospitals also usually results in fluid buildup and other problems which have to be overcome after each hospitalization episode. For example, they seem to think that a diabetic diet is a low fat diet without concern for carbohydrates and that the timing of medications is unimportant as long as they are given.

Dr. Smith reported, after doing a right heart catherization, that he recommends that she adhere to a low sodium, low fat diet; continue treatment for obstructive sleep apnea and maintain systemic blood pressure control. He said he did not find any evidence of pulmonary arterial hypertension.

 
  
   
 
  
 
  
   
 
  
 
  
   
 
  
 
  
   
 
  
 
  
   
 
  
 
  
   
 
  
 
  
   
 
  
   
 
  
 
  
   
 
  

Medications


No known allergies except codeine causes nausea.

Drugs:
Dyer Drug
Albany, Ky  42602
606 387-6444

MEDICINE LIST FOR EVA BRISTOW 

METFORMIN XR                  500 MG      2 TWICE PER DAY       Diabetes
GLIPIZIDE XL                    5 MG      1 PER DAY             Diabetes
PEPCID (Famotidine)            40 MG      1 PER DAY             heartburn
SUCRALFATE                      1 GM      3 PER DAY AS NEEDED   heartburn
LIPITOR (Atorvastatin)         20 MG      1 PER DAY             cholesterol
COZAAR (Losartan)              50 MG      1 PER DAY             HBP  
BYSTOLIC                       20 MG      1 PER DAY             HBP
ASPIRIN                       325 MG      1 PER DAY             heart
CALCIUM + D                   600/200     1 THREE TIMES A DAY   bones
TRAMADOL                       50 MG      1 EVERY 4 TO 6 HRS AS NEEDED  pain
NEURONTIN                     600 MG      1/4 PER DAY AT 8 PM   shoulder pain & restless legs
CIMZIA                      INJECTION     ONCE A MONTH          arthritis   
ZOFRAN (Ondansetron)         4 MG      1  12 hrs. as needed     nausea
B VITAMIN COMPLEX                         1 PER DAY             mouth sores
CYSTOPROTEK sub for Elmiron               2-TWICE A DAY         interstitial cystitis
Align probiotics                          daily                 digestive problems
Immodium                                  as needed             digestive problems
ALDACTONE (Spironolactone)  50 MG         1 PER DAY             fluid retention
Lasix (Furosemide)          80 MG         1 per day             fluid retention
Lotrisone 0.05%/1% TO cream               once per day          candida
MetroNidazole 0.75% TO Cream 45           once per day          psoriasis
Hydrocortisone 2.5% Cream    30           once per day          psoriasis
Sulfacetamide Sodium 10% TO LOT           once per day          psoriasis
Fluocinonide 0.05% TO Oint TARO           apply at bedtime      psoriasis on hand

cough syrup - Guaifenesin/Dextromethorphan HBR as needed

Ventolin HFA 108MCG/ACT inhaler as needed.

Nebulizer with Brovana 15 mcg and Budesonide (Pulmicort) 0.5 mg and Albuterol Sulfate 0.083% IH twice a day for bronchiectasis.

For rheumatoid arthritis flare-ups Dr. Lewis prescribed:
Acetaminophen/Hydrocodone    325/5 - rarely needed
Prednisone 5 mg - 3 tablets daily when needed.

FLU SHOT                         10-12-2017 
Mammogram                        12-27-2016
PNEUMONIA SHOT                   07-25-2017
SHINGLES SHOT                    MAY 2008      

Blood pressure & heart rate with Bystolic
117 to 125/ 58 to 68 with heart rate 78 to 85

  
   
 
  
   
 
  
 
  
   
 
  
   
 
  
   
 
  
   

Tests and Labs: