Received Jul 13, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUAD) | SEQIRUS, INC. | UNK | — | — |
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | UNK | — | — |
Timeline Of Events November 13th, 2024 Shingles and Flu Vaccine performed at Pharmacy November 14th, 2024 First symptoms appear light swelling in hands and legs along with aches in legs and shoulders. November 15th, 2024 Medical appointment at facility, with CRNP. Possible diagnosis Strep Throat. November 21st, 2024 Symptoms worsening. Medical appointment with Dr. Possible Diagnosis Covid. December 2nd, 2024 Symptoms continue to worsen. Medical appointment with Dr. Dr. suggest more testing needed possibly Auto Immune disorder, maybe PMR directing testing at medical facility along with making an appt. with a Dr. scheduled for February 4th, 2025 January 2025 Symptoms worsening. Patient is having difficulty walking, very weak, difficulty breathing and developing a deep cough. February 1st. 2025 Patient can hardly walk or stand unassisted. Shower chair and Walker ordered from company. February 4th, 2025 Arrive at appointment with Rheumatologist Dr. Dr. states he has not received any information, from patient's bloodwork, or testing, states there is nothing he can do today, advises us to try again in a few weeks. The Co-pay we paid at intake desk was returned. February 5th, 2025 Patients symptoms are worsening. Taken to Emergency Room. See medical records. February 10th, 2025 Patient is transferred to ICU due to Blood Pressure going up and shortness of breath. Waiting to transfer her to hospital once a bed becomes available. Patient is not eating much and asked about feeding tube in the future February 12th, 2025 Patient Transferred to hospital. See Medical Records. February 20th, 2025 Cat Scan and Echo test February 25th, 2025 Patient test positive for coronavirus moved to isolation room. See Medical records. February 26th, 2025 Kidney Biopsy performed. See medical records. Still not eating, says she hates the taste. Discussed the food intake situation with nurses and doctors, they don?t seem concerned at this time. February 28th, 2025 Nurses are advising they are trying to get her in hospital March 3rd, 2025 Patient was given a drug called Solaris, Transferred to hospital March 5th, 2025 Rheumatologist team came in and said this may not be a rheumatology problem, it could be a hematology problem. March 6th, 2025 Dialysis treatment. Patient won?t eat today. March 7th, 2025 Dialysis treatment, Patient is nauseous, took bite of pancake. March 9th, 2025 Dialysis treatment, still not eating March 10th, 2025 Patient is confused, Oxygen levels at 99, she ate one bite of food. Expressed my concerns to Nurses about food intake. Said they would notify doctor. March 11th, 2025 Patient sleeps a lot. Doctors come in to turn down her oxygen a little to ween her off it. Nurses come in and turn it back up so Patient is more comfortable. This happens often. March 12th, 2025 Patient is confused and angry. Doctor came in and mentioned putting in an NG tube to provide her with nourishment. Speech Nurse examined Patient and said to Patient and said she could have nothing by mouth. Patient is eating Ice Chips. Dialysis also done. March 13th, 2025 Doctor cut Patients oxygen 30%, her levels are holding at 96. Patient can return to take food by mouth. She ate one bite of corn and one bite of chicken. March 14th, 2025 Oxygen turned down my Doctor, Nurse later turns it back up to 40%. Patient tried to eat better today, some oatmeal and a little bit of a pancake. And order came in to move her to floor, perhaps tomorrow. March 15th, 2025 Kidney doctors came in today, no dialysis today but wants Patient to breathe into spirometer more. Still waiting on the room. March 16th, 2025 Patient appears to be more alert, she is on oral antibiotics, and the doctor is talking about changing her dialysis port to her chest. Patient is moved to floor. March 17th, 2025 Patients oxygen levels fall to 88 according to nurse. Individual requested an Oxygen monitor. Patient is not sleeping. Still not eating. We are expressing our concerns to the staff. March 18th, 2025 Patient slept for about 4 hours, woke up around 4:00 am. She is cramping and a bit confused. Kidney doctors came by said they believe her kidneys will recover, nothing coming back positive on autoimmune. Looking to transferring her to rehab soon. Now Patient is totally bedridden, wearing diapers. Mach 19th, 2025 The difference in treatment on the floor and Micu is like being 1st class and the ship and 3rd class. Asking for more physical therapy and getting very little if any. Patient is getting almost no nourishment, when I point out her empty tray to nurses all I get is ?You can eat it?. They have taken Patient back for a permanent catheter, she has also been taken back for dialysis. Patient said that they were not nice to her when she asked them to cover her legs because she was cold and said they ignored her. Patient is on a renal diet. Patient had a good Nurse tonight. March 20th, 2025 Oxygen turned off and her levels are 88-90. The staff is saying she will be released to rehab in a few days. Dr. Physical therapy will be done today. Her blood pressure is fine, and her Oxygen levels reach 96 later in the day. We all agree we are in the ghetto section of hospital. The nurses have to many patients and all we hear is we need the bed. March 21st, 2025 The Nurse put Patient back on oxygen, said she would be more comfortable. I had dialysis today. Patient is not happy with the dialysis staff. The plan is to do dialysis Monday the 24th and transfer her to rehab. She?s still not eating. Patient got a bath. Physical therapy came in, they made her stand, but it was only a few seconds. We have resorted to cleaning Patient ourselves after she poops, finds feces in her vaginal area and there is blood in her poop, which looks like hemorrhoids. March 24th, 2025 Physical Therapy came in and had her stand with their assistance for a few seconds. Patients legs are so skinny. The Doctors are leaning towards this just being pneumonia, because her blood work does not show anything that looks like signs of auto immune. She received Soliris today. She is congested. She took a bite of chicken noodle soup. March 25th ,2025 Still waiting on the transfer to hospital, Patient did not sleep, cramped all night. Dialysis today. She is in severe pain; said her butt bone is hurting and is cramping. Ambulance showed up at 6:00pm and she was being transported. March 26th ,2025 Patient is in rehab for 21 days. We have explained to the nurses that Patient is not eating and has very little to no strength in her legs. Her muscles in her legs are almost nonexistent. We are still questioning the diagnosis of pneumonia. March 27th, 2025 Nurses came in and told Patient she must eat. I have explained to them that Patient says the taste makes her nauseous. I asked them about an NG tube, they said they would talk to the doctor. I explained that she is eating nothing and now drinking very little. March 28th, 2025 Physical Therapy came in. Patient still could not stand and seemed to be growing weaker. We are also trying to provide some exercise for her. Also has dialysis, which a family member must take Patient to the basement for dialysis and return her to her room. The hospital and staff are not allowed to do this because dialysis is done by an independent company and not by the hospital. The nursing staff helped put Patient in a wheelchair. Still not eating. March 29th, 2025 Patient tried to eat some eggs and ham this morning. She said she?s hungry but again the taste makes her sick. I told her that we are asking the staff to put in an NG tube and Patient seemed to understand and be ok with that. We are exercising her legs more. We put Patient in a wheelchair and took her to the courtyard. She is dead weight, but she seemed to enjoy it. The dietician said she can eat whatever she wants. March 30th ,2025 According to Patient she peed, Respiratory came in and removed her from oxygen. Patient said she?s weak today, having back spasms. Patient is trying to eat but she spit it out. I again ask the nurse about an NG tube and said she would check with Dr. Nurses are nice here, but they seem to have little input. March 31st, 2025 Dialysis today and possible at hospital. She will be taken there and returned by ambulance tomorrow. Still having painful back spasms and not eating or drinking oxygen. April 1st, 2025 Patient transported by ambulance to hospital for infusion, she has returned. The dietician came in. She is not happy with Patients food intake, we have explained that Patient needs a NG or Peg tube. Patient has Thrush, she is cramping. Team came in and we again addressed her food intake and asked for more physical and occupational therapy. Patient lost so much muscle so fast. She has not hardly eaten anything in days. April 2nd ,2025 Patient tried eating grits, made her sick, and went to physical therapy. Was able to get Patient in a wheelchair and took her to the courtyard to see individual, he did not realize who she was but warmed up to her. We were told she stood assisted for 10 seconds. We try to exercise her legs in bed, but she is so weak, we are concerned there is an underlying condition that has not been found. April 3rd, 2025 Patient has dialysis today. Still not eating. Her trays are empty. We try to feed her, but it makes her sick to taste it. The people are nice, but the treatment and rehab is not what we hoped. It?s like they have given up and just making her comfortable. April 8th ,2025 Patient still is not eating, nothing much has changed in days. She is also not drinking, she is weak. I just don?t think they have found the answer to her condition. Her team came in and discussed her discharge on the 16th. I again address the food intake situation. We try to tell Patient she needs to try harder exercising, but it appears all her strength is decreasing. April 11th, 2025 Patient is a little depressed and weak. She doesn?t want to get in a wheelchair to go to dialysis, she wants an ambulance to take her. She is still not eating and says her legs always hurt and still believes she has an autoimmune disorder. A physical therapist came in and got Patient up and tried to help her walk. Patient stood up, I braced her legs, I could tell she no longer had any strength in her legs, she kept screaming I can?t do this. Patient said she is not ready to go home. I address this with the rehab nurse in hopes of extending the stay, she replied and are basically told that I could appeal it, but it would cost me almost 300 a day and the insurance company would most likely not approve it. Patient has developed a cough and seems to be worsening. April 12th, 2025 Physical therapy today. Patient stood assisted. Still not eating. Cough is no better; they will do and Xray. April 14th, 2025 Patient is set to be discharged tomorrow. She is still sick, and her cough is growing worse. I ask the Nurse if Patient should be discharged in this condition, she gestured as though there was nothing she or I could do. April 15th. 2025 Patient is discharged and at home but she?s not well. She says she?s having trouble breathing, her oxygen levels are at 96, I try to get her to eat. I put her to bed; she struggles through the night. April 16th, 2025 Rescue and ambulance are called to our home in the early morning. Patient has a severe cough; said she feels terrible. She is transported to hospital where she tests positive for covid, heavy congestion in the lungs and a possible sinus infection. Blood level critical possible heart failure. Patient is in room ER April 17th ,2025 I test positive for covid; I cannot go to hospital. We have been informed by phone that Patient is still in the ER awaiting a room. Individual is down there. She moved to another location. Patient is cramping, not eating Nurse gave Patient mirlax . it seems we are back in the hospital ghetto. Two individuals test positive for covid. April 18th, 2025 They have upped Patients oxygen, her levels dropped several times, her congestion is bad, she is coughing up brown glue-like substance. The doctors are talking about moving her to ICU if her oxygen continues to drop. August 19th ,2025 Patient is still coughing, not eating, confusion. We address the eating problem, but it doesn?t get addressed. April 21st, 2025 Patient seems to be a tad more alert but says she does not feel well. She tries to eat but gets down very little. April 22nd ,2025 I spoke with Patients team, they say she is improving. Her vitals do look better but I express my concern she is not eating, getting very little if any PT, and her muscles are not improving. She is still congested; I am trying to get the polish off her nails so we can get a more accurate oxygen levels reading. Still not eating. April 23rd ,2025 Patient is not good this morning, very weak. They missed a dialysis on her because her tech was sick and they forgot to reassign it to another tech. That?s 4 days and no dialysis, her current tech is very upset about it and on top of that I had to break up a physical altercation between the dialysis tech and a maintenance worker over water leaking in Patients bathroom, it got really heated. Her last dialysis was Saturday. Still not eating and no on cares. April 24th ,2025 Do dialysis at 4:00am Bp dropped so they could not pull fluid. Patient says she is cold and she is confused. They are talking about discharge today. Said they need the bed and she is stable. She is not eating and still congested. Individual requested a UTI test because of the confusion. It is denied. We express our concerns that Patient is still sick but again we get its almost 300 a day and the insurance will most likely deny it and again that say ?We need the bed?. April 25th ,2025 Patient is discharged at home; she arrived home by ambulance at about 5:00pm. She is still not well, not eating and confused. Has dialysis at hospital in the morning. April 26th ,2025 Patient taken to dialysis, she is confused and sick. Dialysis nurse calls me and say Patient is very sick and confused and unable to do dialysis, she recommends taking Patient straight to the Emergency Room. Patient is put in a wheelchair and taken to ER. Patient is congested and tests positive for a UTI, they put a urine catheter perform an x-ray. Doctor advises that Patient needs to be transported and that the hospital but they have refused her due to lack of beds, transporting her to hospital. Patients blood pressure dropped and a Rapid Response was conducted by medical staff , Patient is critical and being taken to CICU where she becomes stable. April 27th ,2025 Patient is awake, seems a little better and is trying to eat some oatmeal. Still very congested, her vitals seem ok. They are doing dialysis today, which went well, Patient is sleeping. April 28th ,2025 Patient seems a little more alert this morning, she is weak and still not eating, and is confused, Doing dialysis. They said they are going to do a CT of her chest today. I decided to firmly address her lack of food intake and asked to speak to the nutritionist, who arrives within 15 minutes and agrees there is a problem. They do a swallowing test which Patient fails, and they say they will try again tomorrow and if she fails, they will do something more evasive, I explain that swallowing is not the issue, it?s the fact the taste makes her sick. She can?t swallow due to the congestion. A nurse comes in to put in the feeding tube and after multiple attempts said they will try again tomorrow. April 29th, 2025 Patient is more coherent, still very weak. They have turned her oxygen down but whenever a doctor turns it down a nurse comes in and turns it back up. They are going to do a nerve conduction test on Patient today. They took Patient to Radiology to have NG tube put in and a Cat scan of her chest. She finally is getting some nourishment. The Doctor wants to do a muscle biopsy. April 30th ,2025 Patient is very weak, having trouble speaking. She is taken to surgery for muscle biopsy. She returned to the room and she was awake. An Infectious Disease Doctor comes in name Dr., he begins asking questions about Patients condition and symptoms prior to be hospitalized, questions we had never been asked. I explained she developed muscle and breathing problems in November and it increasingly became worse. Dr. explained he believed Patient has an autoimmune disorder. I told him the hospital said Patient was Negative for Autoimmune to which he stated, ?Well that?s hospital?. I immediately went home and researched the top Autoimmune disorders and based on her symptoms concluded that Patient may have Myasthenia Gravis. I sent individual, who is with patient, a message of my findings. , May 1st ,2025 Patient is more alert this morning. Still confused and very weak. Individuals from City Hall came to visit, Patient recognized them and smiled. The hospital doctor comes in and states that they are moving Patient to a room today. I explained I think she?s too sick to move out of CICU, he states that her vitals are good and she is no longer critical, and we need the bed. Once the doctor leaves, Nurses who hear this cover their mouths shake their heads and with their hands over their mouth say she?s to sick to be moved, they seemed upset. At about 11:00 am they move Patient to room. The Nurses on the floor under their breath also state Patient is too sick to be on the floor. We are notified that evening that the Doctors believe Patient has Myasthenia Gravis and immediately starts her on the medication. May 2nd, 2025 0800 Patient?s speech seems better this morning, still a bit confused but knows my name and date of birth. Her vitals seem to be good, but she says she?s in pain all over. Ask the nurse for pain medication, she replies Patient has no pain medication on her chart PRN she will ask the doctor. Patients pain has increased, and she is screaming took about an hour to get her pain medication. Her Blood pressure is dropping, and they call for a rapid response. The hospital Doctor comes in and wants to put her back in CICU but the only bed that?s open is SICU so she is taken there. I have been asked to leave SICU because they need to do dialysis. Patient has been placed on a Bipap. The Nurse told me to check back in 4-5 hours. 1643 I am back in the waiting room waiting for a nurse, who upon entering the waiting room tells me Patient is now on a ventilator and has a GI Bleed. Patient?s vitals continue to drop and she passes away at 2133.
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Fluoxitine , Levothyroxine
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numerous, procedures, cat scans, biopsy's, dialysis