2001
Initial back injury

My lower back started to get real sore, shortly thereafter I injured it at work. For the following 5 years I had on and off lower back pains.

2008-2016
Remission of Disease

Due to being on inject-able bio-identical steroids for a biking accident my lower back problems almost completely went away.

2017
Disease starts to become active

I started to develop a slight dizzyness when out and about and thought it just might be social anexity. I also stopped taking the steroids so I could have a kid. Blood tests came back with normal testerone levels withing 6 months of stopping them.

2018
May

I had a lot to drink one night and lost consciousness and woke up on the floor of the bathroom with a bad headache. My eye started to really hurt the next morning so i went to a centracare and was given a creme for it. Later on in the day I started to feel funny in my left side of the head and having what seemed like panic attacks and went to the ER and no problem was found. The following 2 years I had started to have similiar panic attacks with greater frequency and severity.

2018
August

A manometry study was preformed and it was determined that I had a mild case of jackhammer esophagus

2019
March

Gallbladder was removed. It was removed laproscopically and was approximately 5 inches in length and the largest (3) stones were the size of golf balls

2019
August

After a visit to the ER for chest pain I had super ventricular tachycardia and an emergency heart cath was preformed along with a cardiac morphology MRI and my heart was in good condition. The reason for constant arrhythmia's and the case of SVT were unknown

2019
August

A loop monitor was implanted into my chest to keep an eye on my heart due to previous observations and procedures that produced no result

2019
August

A loop monitor was implanted into my chest to keep an eye on my heart due to previous observations and procedures that produced no result

2019
August

A loop monitor was implanted into my chest to keep an eye on my heart due to previous observations and procedures that produced no result

2019
August

A loop monitor was implanted into my chest to keep an eye on my heart due to previous observations and procedures that produced no result

2019
August

A loop monitor was implanted into my chest to keep an eye on my heart due to previous observations and procedures that produced no result

2019
December

The loop monitor was removed from my chest due to complications of it aggravating my Ankylosing Spondylitis and sending me into constant flares as it was rubbing against my ribs. Even one year later whenever I have a flare I still feel pain exactly where the loop monitor used to be.

2020
January

I went to the ER with head and neck pain and was told I had spinal stenosis.

2020
January

I went to the ER with head and neck pain and was told I had spinal stenosis.

2020
February

A MRI of my brain and cervical has concluded that there is narrowing of the space between my cervical vertebrae and damage has occurred.

2020
May

I started on the biologic Humira to treat my Ankylosing Spondylitis, with methotrexate and folic acid being added to it after 3 months. It was partially effective after a month and only reduced my symptoms and severity of the disease by about 50% at best. I was discontinued on this medicine after 5 months.

2020
October

I started on the biologic Enbrel after discontinuing Humira. Enbrel has proven to be FAR more effective than Humira in treating my Ankylosing Spondylitis. It's effectiveness is about 80% although I still can have flares but their duration is far less than without the medicine. As was determined my Ankylosing Spondylitis activity effects most of my other diseases and due to its reduced activity while I am on Enbrel this conclusion is becoming evident.

2020
November

A x-ray of my cervical has shown that I have started to develop scoliosis where my cervical meets my thoracic

2020
December

We drove to New York for the holidays and i felt ok for the drive up there and the duration of the stay. On the drive back in Late December I was feeling horrible and VERY lethargic and sickly, it felt like a bad flare. I tested negative for covid and it cleared up within 10 days.

2021
January

January 20th I received Botox for my cervical headaches. We thought I might of had an adverse reaction to it that led to worsening of headaches and overall body soreness and malaise. As we found out later it was probably an infection, please see the next box

2021
February
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Patient Name: GEORGE GIDEON
Date of Birth: 08/08/1980
Result Type:
MRI Brain w/ + w/o Contrast
Result Date:
December 03, 2020 18:30 EST
Result Status:
Auth (Verified)
Result Title:
Report
Ordered by:
NAZARIO-LOPEZ MD, BERNADETTE on November 20, 2020 09:56 EST
Performed By:
Devito CR-TECH,ARRT, Angelica M on December 03, 2020 20:40 EST
Verified by:
DALAL MD, KSHITIJ A on December 04, 2020 14:07 EST
Encounter info:
FR301214775, FRI, FRi, 12/3/2020 – 12/3/2020
 
* Final Report *
 
MRI Brain w/ + w/o Contrast
Reason For Exam
Transient paralysis
 
Report
EXAM: MRI BRAIN WITH AND WITHOUT CONTRAST INDICATION: Evaluation for transient paralysis COMPARISON: Brain MRI from 1/31/2020 TECHNIQUE: Multiplanar, multisequence imaging of the brain before and after the intravenous administration of 13 mL of Dotarem. FINDINGS: EXTRAAXIAL SPACE: Ventricles appear age appropriate. No midline shift. The basal cisterns are patent, with no downward herniation. No fluid collections, hemorrhage, mass lesion, focal signal abnormality or abnormal enhancement. Signal voids of basilar artery, internal carotid arteries and major venous sinuses are maintained. The sella and pituitary are within normal limits. CEREBRUM: No restricted diffusion or hemorrhage identified. Superficial and deep cortical structures are well formed. Few scattered punctate frontal and parietal subcortical and deep white matter T2 hyperintensities are demonstrated, nonspecific but could be related to conditions such as migrainous angiopathy. No abnormal intraparenchymal masslike enhancing lesion or acute intraparenchymal hemorrhage is identified.. CEREBELLUM: Cerebellar hemispheres and vermis are well formed without mass lesion, signal abnormality, or abnormal enhancement. No cerebellar tonsillar ectopia greater than 5 mm identified. BRAINSTEM: Midbrain, pons, and medulla are well formed without mass, signal abnormality, or abnormal enhancement. SKULL/EXTRACRANIAL STRUCTURES: Paranasal sinuses: Visualized portions are clear. Mastoids/middle ears: Visualized portions are clear. Remainder: Visualized orbits are within normal limits. The scalp and calvaria appear unremarkable.
 
IMPRESSION:
1. Negative for acute infarction, acute intracranial hemorrhage or enhancing intraparenchymal masslike lesion. No acute intracranial abnormality is appreciated.
2.Few scattered punctate frontal and parietal subcortical and deep white matter T2 hyperintensities are demonstrated, nonspecific but could be related to conditions such as migrainous angiopathy.
 
Dictating Physician: Kshitij Dalal, MD Dictated on 12/4/2020 2:03 PM Signed by: Kshitij Dalal, MD Location OSRR10 WSN:OSRR10
 
Signature Line
***Final Report*** Transcribed By: KAD 12/04/20 2:03 Signed and Verified By: DALAL MD, KSHITIJ A 12/04/20 2:07