Doctors visits on just one of the
Quadruplets
November 20, 1990
Travis Came home from the Hospital today.... weight 4 1/2 lbs.
His stay in the hospital was 2 mos. and 4 days.
Travis had an eye examination done by Dr. Greenberg that revealed retinopathy of prematurity, stage 1, zone 2. He will be followed by Dr. Greenberg as an outpatient. Travis was discharge from the hospital with a apnea home monitor, and a bilateral inguinal hernia, that will be repaired after a few months old as an outpatient, Travis continued gaining weight. On caffeine, he did not have any more apnea and bradycardias.
November 23, 1990 Dr. Morgan Pediatric Surgery 1200 S. Kuhl ave. Orlando Florida 32806
Travis had his hernia repeared. Doctor Morgan wanted him to but on more weight but we had to move the surgery up. After the surgery Doctor Morgan said the scrotal edema and echymosis will be resolved within the next two weeks, and unless there are problems he will not specifically schedule him back for a follow-up vist.
Home infant monitoring visit report November 1990
1 Bradicardia and 2 Apnia alarms since comming home 11-20-1990
November 28, 1990 Dr. Howard Finer Pediatrics 974 Douglas ave. Suite 102 Alt. Springs
Travis is in for 2 month check up and shots. Age 2 months his weight is 4 lbs. 14 oz., length 18 inches, head 13 1/2 inches.
December 1991 Travis had is hernia repair at Florida Hospital.
January 4, 1991 Home infant monitoring visit report
3 Bradicardia alarms since last visit on 11-26-1990
January 7, 1991 Dr. Gruenberg
The eye Doctor at 9:15 am. to see the eye Doctor.
January 10, 1991 Dr. Oetjen
Dr. Oetfen a urologist advised us that Travis should have his circumcision revised when he's a little older.
January 24, 1991 Dr. Howard Finer 974 Douglas Ave. Suite 102 Alt. Springs. Fla.
4 month check up. Pt brought in by dad, Pt coughing and crying. Pt is 4 months old. Weight 10 lbs. 9 oz., length 21 1/2., head circumference 15 1/4 inches.
January 24, 1991 Arnold Palmer Hospital, had ultrasound on head and chest x-ray done at A.P. hospitial. Amoxil 75mg. 10 days. for EARS
B-mode echoencephalogram.
The head appears elongated in the AP diameter and some what narrow transversely, but the underlying brain appears normal.
Febuary 7, 1991
Apnea clinc today
Febuary 8, 1991 Dr. Howard Finer
Weight 12 lbs, Height 21 1/2 inches, Head circumference 16 1/4 inches. Pt is on caffeine and had been to Apnea clinc yesterday. DPT #1, and OPV #1 and hib.
Febuary 15, 1991 Dr. Howard Finer
To measure Travis head 16 1/2 inches.
February 18, 1991 Dr. Gruenberg the eye Doctor at 9:30 am
Home infant monitoring visit report 2-25-1991
1 Bradicardia alarm since last visit on 12-2-1990
Febuary 22, 1991 Dr. Howard Finer
To measure Travis head 16 5/8
March 8, 1991 Dr. Howard Finer
6 months recheck head 17 inches. Weight 14 lbs. Height 22 1/4
This is the last visit to Dr. Finer's office. Did not like him.(He's a QUACK)
March 14, 1991 Developmental center visit report.
Study done at 5 3/4 months, corrected age 3 3/4 months. Study done at orlando regional medical center. EXAMINATION: Length is 10 percentile, weight 75 percentile, and head circumference 90 percentile. His head shape is dolichocephalic with bitemporal narrowing. There is a relatively prominent forehead. His eyes are deeply set, but otherwise normal. His chest is clear to auscultation. No murmur is appreciated at the present time. He received phototherapy for hyperbilirubinemea and required red cell transfusion for anemia. Travis has some respiratory problems, but was discharged home without any significant complications. He did require an apnea monitor and remains on this. Travis had a hernia repair performed in December. His external genitalea appear normal. There is residual fluid present in the scrotum.
Developmentally, Travis is social. His hands are kept open most of the time. He responded to noisemakers. Travis scored at a functional age of 3 1/2 months on the mental developmental portion, and the same on psychomotor developmental portion.
March 20, 1991 Dr. Pastis, our new pediatrician
1403 Medical plaza dr. suite 109 Sanford, Florida 32771 Telephone (407-321-0085)
Travis now six months old. His weight is 14 lbs. Height is 22 1/2 inches.
Quadruplet B Travis has had 2 ear infections in the past. Has apnea monitor, and has been receiving caffeine 1cc per day. Parents have been alarmed that he has been having lots of apnea alarms. Yesterday he alarmed at 12 midnight and at 3 a.m. Parents even changed monitors thinking there was a monitor problem but he continued to have these alarms. Parents are concerned about the baby's head size. Although he is markedly below the 5% in height he is between the 50% in head circumference and his head appears the largest amonst the 4 quads. Will notify Dr. Chiaro at the apnea center regarding the apnea alarms.
Has tiny umilical hernia. Has bilateral hernia scar. Circumcise male testes descended. Hips abduct well. has good head control.
March 20, 1991 Dr. Oetjen
Dr. Oetjen a urologist advised us that Travis should have his circumcision revised in the near future.
March 21, 1991 Dr. Pastis
Spoke with Dr. Chiaaro regarding Travis's recent apnea episodes. We are going to do a sleep study tonight. Then a event study lasting 7 days. Increase his caffeine to a dose of 5 mgs per day.
March 21, 1991 overnight sleep study. Dr. Chiaro
Short apnea was seen on occasion but none of these episodes exceed 6 seconds' duration. The average heart rate was 125 to 100 beats per minute.
March 22, 1991 Radiology dept at Arnold Palmer Hospital Orland Fl.
CT head scan. (Tomogram of the head.)There may be very slight cerebral atrophy with slightly prominent ventricles and subarachnboid spaces.
March 24, 1991 Radiology dept at Arnold Palmer Hospital Orland Fl.
Head x-ray B- bode Echoencephalogram. And Frontal and lateral views of the thorax heart and lungs. Ultrasound Done.
March 24, 1991 2 week sleep study. Dr. Chiaro
Travis had 3 more apnea alarms.
March 25, 1991 Travis Event Study
March 27, 1991 Dr. Pollack 2800 S.Ossceola ave. Orland Florida Ph. 407-843-3613
Dr. Pollack saw Travis at 6 month-old because of macrocephaly. This is his report. Father indicates he was the largest of the quadruplets at 2 lbs. 13 oz., and remained in the nursery for 2 and 1/2 months but required only a few days of respirator support. Intraventricular hemorrhage did not occur. He was discharged on an apnea monitor. Father's record indicates that 2 alarms sounded in November and 5 in March.
Physical examination -includes a weight of 15.5 lbs. and a head circumference of 44 cm. There is dolichocephaly and frontal bossing. Anterior fontanel is patent. The anterior portion of the cranium appears expanded relative to the posterior portion. Chest is clear except for scattered rhonchi. There is no hepatosplenomegaly. Genitalia are normal. A herniorrhaphy scar is present. The patient's head circumference falls above the 98th percentile for his corrected age. Travis's head is elongated in the AP diameter, and that there is frontal prominence. Neurological Examination: Sagittal synostosis with macrocephaly. CT scan and physical examination show no evidence of brain compromise resulting from the patient's sagittal synostosis although risk of cerebral compromise does exist with continued growth. Cosmetic effects of the sagittal synostosis will also worsen with time if the patient"s condition is not treated. Three-D CT scan of the head was ordered to better visualize the synostosis. Dr. Montoya will see Travis within the next few days and I anticipate that linear craniectomy will be performed in the near future.
March 28, 1991 Dr. Pastis
Travis has premature closure of sutures and will be seeing Dr. Montoya for consultation in the morning. Has been scheduled for 3 dimensional x-rays next monday 4-1-1991. Travis had 3 apnea alarms on 3/20/91 in a 24 hour period and that makes 7 apnea alarms for this month. Will start 2 week event study after which we will more than likly increase his caffein dosage.
March 29, 1991 Dr. Pastis
Swelling and redness on right arm. Has had small cyst a month ago which was seen by a plastic surgeon Doctor Sweitzer that his brother Cory goes too. Surgeon thought it to be benign. It is markedly red and tender and the size of a dime, may need to be drained. Travis is due for surgery for craniosynostoses, however this is postponed due to infection and neosurgeon wants this completely treated before surgery.
March 29, 1991 Dr. Montoya at 11:00 am. Surgery for premature closure of sutures.
Home infant monitoring vist report for March 1991
Travis had 6 apnea alarms for March.
April 1, 1991 APH for 3-D cat scan 10:00 am.
April 3, 1991 Travis to Dr. Sweitzer 2:00 pm.
April 5, 1991 Dr Sweitzer
Brought Travis into see Dr. Sweitzer. He did outpatient surgery on Travis's arm.
April 8, 1991 Travis to Dr. Sweitzer at 10:45 pm.
April 9, 1991 Travis to Dr. Hellmling (urologist) Revised circumcision
April 18, 1991 Dr. Montoya
Dr. Montoya was able to successfully repair the craniosynostoses. (premature closure of sutures of Travis head.) The surgery lasted 6 hours. A 1/2 inch strip of bone was removed sagittally. Dr. helmling the urologist did another circumsion. The first one was done in the hospital. At the time of the surgery Travis's wieght was 3 lbs. His penis was to small so it had to be revised.--------(Circumcised again.)
Cosmetic effects of the sagittal synostosis
April 23, 1991 Travis home from the hospital. It was a long 5 days for us.
April 29, 1991 Travis to Dr. Montoya.
Home infant monitoring visit report April 1991
5 Apnia alarms for April. Travis just home 24hrs. from having cranial surgery. No alarms in this 24hrs.
May 2, 1991 To Dr. Helmling. (urologist)
May 8, 1991 Dr. Pastis
Travis has had 4 apneas after his head surgery. Will consult Dr. Chiaro regarding the alarms and to increase the caffeine dose that he is on. He may warrant longer event study. (one month)
May 15, 1991 Dr. Pastis
A 1/2 inch of bone was removed sagittally and already the head configuration looks a little more normal with an increase in the parietal diameter, The distance between the 2 sides of the bone measures 1 1/2 inches and this wide open area appears soft and not tense or bulging.
May 16, 1991 Travis to Apnea Clinic 1:30 pm.
May 17, 1991 Dr. Pastis, Then to E-R at ORMC hospital.
Pt age 7 months has trouble breathing all day, respiratory rate noted by nose was approximately 64 per min. And has been wheezing since evening. Will call in with progress report. Pt will check in at the hospital. Phone call after 2 hours. Pt's respirator rate increased to 80 and after Ventolin now is 54 per min. He is sleeping and is much more comortable. 2 a.m. pt left for home. Father will call back if ther is any worsening during the nite. office visit in the morning.
May 18, 1991 Travis to Dr. Deliwalla
May 18, 1991 Dr. Pastis
Came in for having trouble breathing last night called in Ventolin for bronchiolitis. His respiratory rate has ranged from 50-80. CBC done at office reveals white count of 5.3, Platelet count 416,000. Cont. on Ceclor and Ventolin. Recheck in 5 days.
May 20, 1991 Dr. Pastis
Despite the ventolin pt. continues with rapid wheezing respirations. Father had pox occimeter at home (for his quad with BPD) and it read 99% Later in the day respirations became more labored and the pox occimeter read 92%, Father gave him some nasal 02 and he seemed to be more comfortable. Dispense home nebulizer pulmo-aid. Use Ventolin solution for inhalation. insteda of giving the Ventolin orally, Father is to use the pulmo-aid nebulizer treatment, Give us a progress call tomorrow. Cont. ceclor.
May 20, 1991 Travis to Dr. Sweitzer 2:30 pm. for follow up on Rt. arm.
May 24, 1991 Dr. Pastis
Continues to have expiratory wheezing and is relieved with ventolin nebulizer. Left ear is red and thick. (Persistent middle ear effusion) Pt given Augmentin 125mg and Cortisporin otic, 3 drops to left. ear canal.
Home infant monitoring visit report May 1991
1 Apina alarms since last visit.
June 3, 1991 Dr. Pastis "DPT #2 OPV #2 HIP #3"
Very much improved since seen last time. Wheezing is audible only when he cries now. Respiratory rate is in the 40's and totally unlabored. Lungs are clear when he is not crying but when crying he has expiratory wheezes. BSOM, bronchospasm. T-gram confirms flat curves bilaterally. Start bactrim. Cont. Ventolin with nebulizer. Lotrimin apply to the rash in the body folds which has taken on more of a fungal apperance, report if not improving. Today received DPT #2, OPV #2, and hip #3.
June 3, 1991 Dr. Sweitzer at 9:00 am.
June 7, 1991 Dr. Gruenberg at 12:30 pm. (Eyes)
June 10, 1991 Dr. Morgan 9:45 am. (Hernia Doctor)
June 15, 1991 Quads are 9 months old.
Insurance bought the boys Apnea monitors at 3,600.00 each.
...total $7,200 dollars.
Home infant monitoring visit report June 1991
1 apnea alarm for June.
July 3, 1991 Dr. Pastis
Had 1 apnea alarm which occurred after the end of a very busy day swimming at the neighborhood pool, etc. Father express some concern about caffeine making him "stare off into space" or at times get irritable with slapping his hands against other people or against his own face. Pt weighs 2 more pounds than he did when we started him on the higher dose caffeine in
and since is weaning himself from the calculated dose. Has an appt. with Dr. Montoya for a postop visit following his cranial stenostosis surgery, and I want him to mention this to Dr. Montoya and see how concerned he is about it. ( In the menatime, should cont. the AB monitor.)
July 15, 1991 Dr. Pastis Pt, 10 months. DPT #3, Hib#3
Head circumference paralleling growth curve between 50 - 75%. He is in the 25 % in weight and just at the 5% in height. Can pull himself to a standing position, has beensitting alone since age 9 months. No teeth yet. Had some apnea alarms in the past week with prompt correcting on his own. Just completed his bedtime prophylaxis on bactrim last week. Cont. Bactrim and return at age 12 months. Has and appt. with Dr. Montoya and should mention the apnea alarms that he has beenhaving to see if they relate at all to his cynostosis surgery. Today received DPT #3, HBOC #3. and Hip #3.
July 16, 1991 Dr. Montoya at 12:00 pm.
July 25, 1991 Travis to Apnea Clinec 1:30 pm.
Home infant monitoring visit report July 1991
21 apnea alarms.
No more appointments with Dr. Pastis, Moved to NasvilleTennessee.
August 10, 1991 Travis to ER for pink eye and uper respository infection.
Home infant monitoring visit report August 1991
6 apnea alarms.
Our new Doctor is Dr. Doaks (He seem to be a good Doctor.)
September 5, 1991 Dr. Doaks. (HT-30in. WT-21# 10oz. Asthma wheezing, Fever, cough, Rt. ear AMOXICILLIN, VENTOLIN Pulmonade Referral to--Dr. Pollick, neurologist and Dr. Tulipan, neurosurgery.
September 13, 1991 Dr. Gray 1:00 pm. (for TB test) Rt. Ear, wheezing, fever, cough. AMOXICILLIN, PULMONADE, VENTOLIN
September 17, 1991 Dr. Doak Called in Gantrisin
55 vists to the Doctors by age 1
and remember this is on just one of the babies
September 23, 1991 DR. Tulipan Vanderbilt University Hospital Dept Neurological surgery
Dr. Tulipan: On examination after moving to Tennessee, Travis has fairly mild scaphocephaly. The sagittal suture is already ossified except in one small area. Given this re-ossification, he may continue to have a progressive cranial deformity in the future. At the moment, His deformity is mild enough that I certainly would not intervene. We'll see him back in about six months for follow-up. Craniectomy for sagittal Craniosynostosis.
September 24, 1991 Apnea Clinic Vanderbelt 9:30 am. (To see why Travis still stops breathing all the time.)
October 18, 1991 Dr. Doak Called in GANTRISIN Travis is still on AP monitor.
November 4, 1991 Dr. Gray R-Ears Reaction to shot. Ceclor
November 14, 1991 Travis to Dr. Doak (cough, LT Ears, temp. 103.0) CECLOR
November 18, 1991 Travis to Dr. Willis (ENT- Doctor)
November 18, 1991 Dr. Doak LT- Ear, Cough, Fever, vomits. SMZ-TMP Had shot of cordisone.
November 19, 1991 Travis to Dr. Doak (reation to the shot.)
November 25, 1991 Travis Pre-Adm-Test Nasville Memorial (for ear tubes)
November 26, 1991 Dr. Willis
Admitted to Nasville Memorial hospital for surgery to have tubes put it his ears. Advised by Doctors in Florida and Dr. Doak.
December 4, 1991 Dr. Linden 3:30 pm. To see if theres a problem. Histussin HC, Ceclor
December 12, 1991 Travis to Dr. Linden Postop check 2:15 pm.
December 18, 1991 Travis Dr. Linden 3:15 pm. EARS
December 19, 1991 Dr. Gray 9:15 am. Whezzing Ventolin
December 20, 1991 Dr. Greaves called in pediaprofen
December 20, 1991 Travis to E-R at Donalson Hospital for burned hand.
December 21, 1991 Travis to E-R at TN. Christian Med. Center For Pnenomena Medicines from E-R Metaproterenol and Augmentin By Dr. Reischal.
Prescription Medicine for September---December 1991
9
For year 1992
January 14, 1992 Travis to Dr. Snodgrass our Dentist.
January 17, 1992 Dr. Doak (cough & whezzing, got Shots anyway. (MMR-Hb)
January 21, 1992 Dr. Doak called in amoxicillin
February 10, 1992 Dr. Doak called in amoxicillin
February 22 1992 Dr. Gray called in ventolin and amoxicillin
February 25,1992 Travis to Dr. Doak (Whezzing & Asthma) 16 mg dexamethasone
February 26, 1992 Dr. Linden called in histussin Hc
March 4, 1992 Travis to Dr. Doak (Whezzing)--shot of rocephin and ---
March 5, 1992 Travis to Dr. Doak (vomiting Lt. ear drainging wheezing cough.) shot of B:Cillin and Methacort 80
March 7, 1992 Travis to Dr. wadington, has fever and heavy breathing Lt- ear. 18.5 mos. Liquid predisone
March 11, 1992 To Dr. Linden for his ears. Medicine, Cortisporin otic.
March 12, 1992 To Dr. Willis for his ears. Medicine, suprax susp. and gentamicin ophth sol.
March 27, 1992 Travis to Dr. Willis (EARS) Medicine, suprax susp
March 26, 1992 Travis to E-R (Broke toe, AND 3 stitches.)
March 28, 1992 Travis to E-R (For check on foot.)
March 31, 1992 Travis to Dr. Willis (EARS) Medicine, uad otic susp.
April 1, 1992 Dr. Doak. called in Prelone for Travis.
April 6, 1992 Travis to Dr. Doak. Ht-34 in. WT 26 lbs. Age 19 mos. Check on RT - foot and toe
April 5, 1992 Travis to Dr. Doak (18 mos. check up vaccine DPT-OPV)
April 7, 1992 Travis to Dr. Willis. (Ears). clean out the tubes.
April 21, 1992 Travis to Dr. Doak (check on his toe). stiches out and checked ears. Medicine, suprax and amoxicillin.
April 23, 1992 Travis to Dr. Willis (Ears.)2:15 pm. Medicine, chloral hydrate.
April 28, 1992 Travis to Dr. Willis (Ears) Gave me medicine to put Travis asleep for the 30,
April 30, 1992 Travis to Dr. Willis (Ears) brought Travis in after giving him the drug to put him out to clean his tupes. (PS I will never do this again.) Medicine, octicair otic and amoxicillin. Deaton
May 4, 1992 Travis to E-R (Fell and hurt his mouth) Dr. Murabito gave medicine suprax.
May 5, 1992 Travis to Dr. Doak. RAD breathing Ears Medicine, 450,000 units B: Cillin and 1/2 Ml Methacort 80
May 11, 1992 Travis to Dr. Doak. Wheezing x 3 wks Pt 20 mos. Medicine, Amoxicillin and liquid pred.
May 12, 1992 Travis to Donalson E-R Then Admitted to Vanderbilt University Medical Center.
Chest x-ray from Donelson showed a patchy right middle lobe infiltrate with hyperexpansion.
Hospital course: He was started on nebulizer treatments 3 hours which were changed to 4 hours by a. m. He received a loading dose of Prednisone and Amoxicillin for the pneumonia.
Discharge: He was discharged the a.m. after admission to continue home asthma therapy. Medications Albuterol, Amoxicillin, and Prednisone.
DISCHARGE DIAGNOSIS: Asthma exacerbation and Pneumonia.
May 12, 1992 Travis E-R at Vanderbelt hospital (Checked in, Has Phenomena)
May 14, 1992 Medicine from Vanderbelt-- Prednisone tabs, Prelone syrup, Intal neb. solution.
May 14, 1992 Travis to Dr. Sanders- Allergist- Medecine, Amoxicillin
May 24, 1992 Travis to Dr. Sanders- Allergist Called in Amoxicillin.
June 17, 1992 Travis to Dr. Sanders- Allergist Called in Amoxicillin.
July 14, 1992 Travis to Children Special Service.
1. Chronic asthma recurrent pneumonia.
2. Chronic otitis media, Tubes in both ears.
3. Premature birth of 29.5 weeks gestation; (10 weeks early.)
4. Speech delay.
5. S/P craniectomy for craniostenosis; macrocephaly.
6. Hearing within normal limits.
Recommendations
1. Referred to genetics clinic. October 5, 1992 at 8:30 am.
2. Referred to Wilkerson center for speech.
3. Continue care with Doctor Tulipan (Pediatric Neurosurgery)
August 1, 1992 Dr. Doak At 23 mos. Whizzing & Asthma & fever phenomena again, Medicine, Ceclor 125 (Shot of Rocephin and dalalone)
August 20, 1992 Dr. Doak called in SMZ-TMP
August 24, 1992 Dr. Doak called in ceclor
August 25, 1992 Dr. Sanders - Allergist called in intal neb. solution.
September 2, 1992 Travis to Dr. Linden Ear Doctor, Medicine Histussin hc.
September 17, 1992 Dr. Sanders the Allergist called in Intal neb. solution.
September 10, 1992 Dr. Doak (Ears draining HT-33.5 WT-29.5) Did CBC now 2 years old.
September 13, 1992 Travis to Dr. Willis 2:15. pm.
September 24, 1992 Travis to Dr. Linden 3:30 pm. Ears Medicine Ceclor and Octicair otic susp.
111 vists to the Doctors by age 2
September 29, 1992 Travis to Dr. Linden Ears Medicine Cedlor susp
October 3, 1992 Dr. Doak called in ventolin syrup.
October 3, 1992 Travis to Donalson E-R Medicine Pediaprofen. (Ear ache and fever)
Emergency Department Report.This 2-year-old male who is onset of a set of Quadruplets, presented to the E-R with complaint of fever, by the father. The patient has been undr treatment by Dr. linden for ear infection, has been on Ceclor for 10 days. Dr. Linden saw the patient 3-4 days ago and thought that the ear was progressing well. He has, in addition to the Ceclor, also been placed on ear drops. Today the father noted the fever. He has also noted 2-3 loose stools. He did not classify those as watery diarrhea, but says that the stools were loose, and this has been over the past 2 days. Patient has some drainage from the ear. He comes to the E-R for further evaluation.
Review of systems: The patient is allergic to Bactrim. Medications include ceclor, Tylenol, ear drops, Ventolin. The patient has a past medical history of ear infections with ear tubes, asthma and pneumonia times three.
October 8, 1992 Dr. Doak called in Nystat/triamcin crm.
October 9, 1992 Travis to Dr. Wadlington (R-Ear and asthma) Medicine Gantrisin ped susp.(Shot of B:Cillin and Methaacort 80
October 17, 1992 Dr. Doak called in Amoxil chewable tabs
October 27, 1992 Dr. Wadlington called in Nystat/triamcin crm and Albuterol inhn soln.
Left Dr. Doak for Dr. Vafai........ Doctor Doak was ok but they run the kids thur their office like cattle.
November 6, 1992 Travis to Dr. Vafai Bilateral, otitis media, medicines- Suprax, ventolin, intal.
November 10, 1992 Travis to Dr. Tate, for Ears.
November 24, 1992 Travis to Neurologest at Vanderbelt.
December 3, 1992 Dr. Vafai (Sinusitis Respiratory Airway Disease) medicine, Suprax 1 1/4 Aerosol trmts.
December 7, 1992 Travis To Dr. Linder (Ears)
December 18, 1992 Travis to Dr. Linder (Ears)
December 22, 1992 Travis to Dr. Vafai for vaccines Hep-b #1 (Ears) Resolving OM, Cont Suprax.
Prescription Medicine for 1992
42
Year for 1993
January 16, 1993 Travis to Dr. Wadlington medicine, Nystat/triamcin, Albuterol inhn soln, Intal neb. solution.
January 18, 1993 Travis to Dr. Vafai 9:30 am.(wheezing, Respiratory Airway Disease.) medicine, Augmentin, Albuterol 4cc in 3cc saline. Then change to suprax susp.
January 22, 1993 Dr. Vafai for shots. Hib-b #2 (Respiratory Airway Disease / Resolving otitis media) Cont. Augmentin and aerosol trmts.
Moved to Kings Port TN. Dr. Mcmahan and Ley (pediatrician)
February 5, 1993 E-R at Indian Path Hospital. (Pneumonia)
Amoxil 250mg and Albuterol.
March 12, 1993 Travis to Dr. Bryan (Dentist)
March 14, 1993 Travis to E-R Indain Path Hosp. Dr. Fischer and Ley (pediatrician) medicine, Suprax susp. 100mg/5ml and Gentamicin Ophth sol 5ml Travis has Pheononia again.
March 17, 1993 Travis to Dr. Ley, Repository and ear infection. medicine, Amoxil and Pediapred oral
March 31, 1993 Travis to Dr. Mcmahan, (Repository) medicine, Ceclor 375mg susp
April 16, 1993 Travis to Dr. Ley, Suprax susp.
April 28, 1993 Travis skull x-ray 10:00 am.
May 4, 1993 Travis to Dr. Kimbrough 1:30 pm. (Eyes)Travis might need glasses for nearsighted.
May 5, 1993 Travis to Dr. Mcmahan 9:45 am. medicine, Amoxil 250mg and Neo dexair opth sol.
May 6, 1993 Dr. Smith (Head Doctor.) 4:00 pm. He said if we are going to do the surgery on his head it must be noe before Travis is 4 years old.
May 19, 1993 Travis to Dr. Mcmahan 9:00 am. Asthma and ear infection. medicine, Cephalexin 250mg, Tussi-R-gen and Albuterol.
May 21, 1993 Travis to Dr. Mcmahan (ears bleeding and sore throat.) medicine, Cortisporin otic and Ceclor 187mg
May 27, 1993 Travis to Dr. Mcmahan 2:30 pm. (Travis had fith disease)
June 4, 1993 Travis and all the kids have the chicken pox.
June 1, 1993 Travis to Dr. Mcmahan, Travis sty in one eye, medicine, Amoxil 250mg
June 15, 1993 Travis to Dr. Ley 9:30 am. (For his ears )medicine Augmentin 250mg
July 2, 1993 Travis to East Ridge Hospital E-R. (wheezing and ears) Medicine, Suprax susp
Back to Nashville
July 16, 1993 Travis to Donalson E-R (Rash of unowned etiology on feet hands and face. (Doctor asked if he may take pictures of Travais, he took 7, Gave Travis some creams.)
August 1, 1993 Travis to E-R -- Burnt thumb on our van cigarette lighter while camping, 3rd degree Burn...
August 18, 1993 Travis to Dr. Vafai (shots 8:30 am. Hep-b #3)
August 20, 1993 Travis to Dr. Vafai at 8:45 am. (left Ear Otitis media) medicine, Lorabid susp 200mg. 1 tsp twice a day X 10 days.
August 24, 1993 Travis to Dr. Vafai at 8:45 am.(blood in left ear) medicine, Rocephin 500 mg (shot), Suprax 1 1/4 tsp. po, Cortisporin otic.
August 27, 1993 Travis to Dr. Vafai at 10:00 am. (Ears) Resolving OM.) Continue, Suprax and coitisperin.
September 3, 1993 Travis to Dr. Vafai at 8:40 am.(EARS) Resolving Otitis Media, medicine, finished Suprax and take Rynatan 1 tsp po.
September 9, 1993 medicine, Tanoral ped susp.
September 20, 1993 Dr. vafai gave Refills,Albuterol, Intal neb. solution.
154 visits to the Doctors by age 3
September 28, 1993 Travis to Dr. Vafai (asthma could'nt breath) Respiratory Airway Disease --, medicine, Suprax 1 1/4 tsp by mouth once a day X 10 days, Albutero 4cc in 3cc saline every 6 hours and continue Rynatan.
September 30, 1993 Travis to Dr. Snodgrass 10:00 am.
October 12, 1993 Travis to Dr. Vafai (2 ear infections RAD.) Resolving Otitis Media / RAD- Continue Intal twice daily.
October 19, 1993 Travis to Dr. Vafai at 10:00 am.(Asthma, wheezing Respiratory Airway Disease, croup and left otitis media.) medicine, Albuterol and intal. Gentamicin ophth sol.
November 17, 1993 Dr. Vafai 9:00 am. (Left Ear and croup) medicine, suprax 1 tsp once daily.
November 17, 1993 That night went to E-R at TN. Christian Med. Pneumonia) X-ray of PA and lateral chest. There is a small area of infiltrate in the right lung base medially consistent with small area of pneumonia. Medicine, Shot of Rocephin, Ceclor susp Dr. Panos
November 29, 1993 Travis to Dr. Ewers. Medicine, Albuterol inhn, intal neb. solution.
December 3, 1993 Travis to Dr. Vafai at 11:15 am.(follow up phenomena)
December 4, 1993 Travis to Dr. Guth Dads Doctor. Medicine, Ventolin Rotacap kit.
December 6, 1993 Travis to Dr. Vafai at 9:00 am.(Purelent Rhinitis / Respiratory Airway Disease.)
December 8, 1993 Travis to Dr. Vafai, medicine, ceclor susp
December 21, 1993 Traivs to Dr. Ewers. Albuterol and intal.
December 23, 1993 Travis to Dr. Vafai (persistent rhinitis/Rad. medicine, Suprax and albuterol
Travis to E-R at Donalson hospital at 12:30 am. (Phenomena)
History of present illness: This 3-year old was brougt in by the father with a history of wheezing for sevral days. It has become worse today, Also with a temperature. Chest x-ray revealed right lower lobe infiltrates. The patient was given
Albureol .25cc, Pediaprofen 5cc Ventolin inhaler P.R.M. Discharged on Rocephin 250mg. (shot), Pediazole 5cc, Pediaprofen 5cc and Ventolin, EES/Sulfisox susp., ventolin inhaler. Dr. Colom.
December 27, 1993 Travis to Dr. Vafai Suprax and Albuterol sulf syrup.
Medicine for 1993
43
January 3, 1994 Travis to Dr. Vafai (presistent ear infection, rhinitis & Respiratory Airway Disease & sinus.) medicine, Pediazolo 1 1/4 tsp three times daily, suprax susp. and EES/Sulfisox susp.
January 6, 1994 Travis to Dr. Ewers then E-R (Respiratory Airway Disease & Phenomena) medicine, pediapred 3 tsp. twice daily and Augmentin 250 3/4 tsp. three times daily continue Intal neb. Solution and ventolin.
January 10, 1994 Travis to Dr. Vafai. (Respiratory Airway Disease and Otitis media. Continue current medications.
January 17, 1994 Travis to Dr. Vafai. (Resolved bilateral otitis medi / Respiratory Airway Disease.) medicine, Continue albuterol.
January 21, 1994 Travis to Dr. Ewers (Still sick no better) medicine, Albuterol and intal.
January 27, 1994 Travis to Donalson E-R. Phenomena and RAD/ Travis had a shot of cortisone and breathing treatment.(Travis was in 30 days ago for the same thing. )
February 1, 1994 Travis to Dr. Vafai. Respiratory Airway Disease/ Phenomena, Ceclor, Pediazole 1 1\2 tsp. three times a day.
February 2, 1994 Travis to Dr. Vafai Travis vomiting pediazole change to Augmentin 250 1 tsp for 2 weeks.
March 4, 1994 Travis to Dr. Vafai with wheezing and Ears, medicine given (augmentin). Thats the one kind he just hates. Travis has had lots of ears problems and phenomena 7 times in the past two years.
March 14, 1994 Travis went to see Doctor Vafai today, Travis said his penis hurts when he goes to the bathroom.
Medicine for Jan--March
13
March 29, 1994 Travis to Dr. Sanders the allergest. Travis was to sick to be tested so Doctor Sanders put him on Augmentin 250, Ventolin and intal 4 times a day.
April 22, 1994 Travis to Doctor Vafai, she gave him Amoxicillin 250. (Respiratory Airway Disease.)
April 25, 1994 Travis to Doctor Sanders (Asthma, continue to hive him Intal and Ventolin.
June 9, 1994 Travis to Doctor Vafai. High timep. Strap throat and phenomena, she gave him a shot of bicillin L-A600,000 units.
June 27, 1994 Travis to Doctor Guth, Ears (Amoxicillin Susp.)
October 11, 1994, Travis to Doctor Wyatt. then to Hendersonville hospital for x-rays. He has Phenomena. Medicine given: Augmentin 250, and will follow up with vaccine of pneumovax 23 and 2 injections of flu vaccen 1 month apart. Call back in the morning to further evaluate.
183 visits to the Doctors by age 4yrs 2mos.
November 4, 1994 I took Travis to Dr. Wyatt for his Phenomena shot. I hope I did the right thing, it took seveal days for the Doctor to get the shot and then I asked the nurse what are the side effects and the nurse said I don't know I never gave this shot to anyone, do you want to know before I give it to Travis. I said yes plaese.
and it goes on and on............
And remember thats just one of the quads
That is a visit every 5.9 days.......
and that was just 1 child...
