Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Heart rate increased, Sleep disorder, Tinnitus
Clinical narrative: Rapid heart beat when going to sleep, and changes in my Tinnitus . After second Covid shot my heart rate would increase dramatically when trying to go to sleep. Too fast to even try to count for one second. Dr. ordered a heart monitor for three day recording period.  Supposed to mark time on cell phone type unit. I worked as a Locomotive Engineer for twenty four years following a previous nine years as a Brakeman. My system is still attuned to going to a wide awake state anytime I'm awakened. In Lew of being, I included a note as to the times this rapid beat was happening. Their report was nonsense. I'm quite sure a rapid beat before a resting sleep rate would be quite noticeable. They did list one episode of 172 beats. Corporation $$$$$, too much of a hurry.  I'm blind in my right eye and need glasses to operate their cell phone unit, plus I would have had to turn on brighter lights to see what I was doing. I also have trouble with my hands, arthritis from the years operating the locomotives. I also have to contend with the over five inches in height I've lost from railroading.  I loath loss of sleep. I had a appointment Jan 6, 2022 CLINIC CARDIOLOGY. Dr. changed my prescription for METOPROLOL TARTRATE 25MG twice a day to METOPROLOL ER 50MG - 1 TAB AM and 1/2 TAB PM. The fast heart rate has slowed considerably, but the beat are really strong. The heart rate is still faster than it should be. I have had some nights without the fast heart rate, and nights with the slowed heart rate.  A couple of nights of no fast heart rate to be awakened after falling asleep with faster than normal strong heart beat rate some of which really pulse. My dad, his brother and sister, and a cousin (dad's brother daughter) all died of cerebral aneurysms. Strong beats do concern me.  Today up at 04:30am regular beat, 09am sleepy  sitting in Morris Chair , 09:10am beat speeding up, 09:20am beat faster and stronger as close to sleep; 09:30am, more awake; 09:40am normal, up walking around.  It's not unusual having this sleepy events happen in mornings and afternoons.  I had kidney failure in the eighty's. I was sick and had multiple appointment with my  general practitioner. He order a glucose test and the tech found blood cells in the urine. Sent for ivp x-rays.  They were unable to see kidney, Ordered blood tests. Creatine was 15.3 and Bunn was 122. Dialysis Nurse told me "I've seen your blood work. You should be in bed puking, not up walking around". Nine dialysis treatments and they had my kidneys restarted, Had 70% then, last test in 2020 was 37%.. Failure was attributed to viral infection and Dyazide shut them down. I had a new physician after that. I do a lot reading on the net, but careful where. On computers if something goes in, something comes out!  Never, never self help groups. Everything placed on the dinner table was homemade, vegatables were either fresh or frozen. That's why I felt that I wasn't in bed puking.   Tinnitus - I've had Tinnitus for years. It's been a high pitched monotone. Quite loud at times. After the second Covid shot the monotone changed to a jet engine roar. After acouplke of months it would switch back and forth between the monotone and jet engine roar. After the fourth Covid shot, same as above but now I've had instances of what sounds like a radio talk show is on, except the talk is muffled and not understandable.  Weird!  I'd be amused if I could understand it. Today 05/15/22 tone is monotone again.  05/16/2022 up at 4:30am - monotone, 07am - jet sound;  08am - monotone.  Personal history. Was married to my wife for fifty-five years. She expired in 2018 of stage four Parkinson's Disease. We have five children, three girls and two boys who have provided fourteen grand, great-grand children. My primary occupation was a Brakeman for nine years and then a Locomotive Engineer for twenty four years. My promotion exam to Locomotive Engineer was seven hours of verbal examination by the toughest examiner the company ever had. As a side note I never missed  giving a complete correct answer. To keep my mind active on long road trips on the Company I would keep my station times in binary and, or hexadecimal form calculated enentirely in my mind. Raising five children meant I did a lot of side jobs including autobody work, engine work, all the building trades, welding landscaping, many others. Hobby's were Morris Style woodworking, stained glass, computers and gunsmithing. Even at eighty I make my own meals, wash my own clothes and drive a car (I avoid night time driving if possible).  With this rapid heart beat I imagine a question would be - Why I have had the additional booster shots. My answer would be my current health status. On the railroad I was subjected to ultrafine silica sand dust from the locomotive wheel sanding. I have a mass in my lower left lung. It's in the lower left lung from all the hours leaning left to see towards the backward direction while switching cars. They want a ct scan but I have declined account I can no longer hold my arms over my head to preforn their scan. There is a design flaw with the diesel exhaut stacks and a attached spark arrester that forces the exhaust to enter the car body that then is then  drawn into the cab by traction motor blowers located below the cab. Another design flaw with the train brake valve in most of their GP9's and GP&7's. When ever using the train brakes the train line air is exhausted directely into the cab of the locomotive. Trian line air is high pressure, 75-90 psi. The exhaust would be full of fine oil mist. My breathing is degrated from the above. I'm sixteen lustrums. I am diabetic. I have kidney disease. My BMI is high. (Loss of five inches doesn't help). One of the early studies of Covid deaths said a high percentage (70% ?) of those deaths of over 65 were of blood type A +.  Wan'na guess my blood type. It's not just surving Covid, it's what your goning to have left. I started sheltering in 02 of 2020. I find it had the amount of people that believed the POTUS retoric he was putting out. I guess it reinforced what I've seen with people that are smart, or those especially proclaiming to be smart, that a good percentage are seriously short of common sense. I haven't had Covid. I'm alone 95% of the time, that doesn't bother me as on the RR I was alone a lot. I do miss the banter the wife and I had, though. One of the many favorite was when we were sitting under the eve of the garage. It was L shaped and offered protection from the cold Lake wind. This particular day was heavy overcast (fog) just above the tree tops. A group of geese from the rail yards, where a lot of grain was spilled from leaking grain cars, would fly to the Bay area. We could hear a group coming as they were honking excessively. They flew over us right at tree top level account of the heavy overcast. It was down right irratating all the noise.  A few minutes later another group followed. This group was not honking and when they went overhead you could hear the wind flowing over their wing as they flapped, and the heavy breathing from keeping those heavy bodies in the air. After they passed my wife asked "Was that second group a different kind of goose?".  I ansewered dryly "NO, Those were all Males". I instantely received a back hand slap on the shoulder. I miss those days. Ya, some of you are probably thinking right now, but in our house there wasn't any male or female jobs, and the worst thing any of those kids could say was "I don't know how". My energy was spent on the mechanical side of things, so if you would excuse my grammer and spelling I would appreciate it, and of the length of this, because standing is now limited, I sit a lot more for things like this.  Even with hearing aids I have trouble with higher pitched voices (some females). As an Engineer I blew the whistle a lot. During the time I was a Brakeman a nineteen year old girl later subcumed follow a grade crossing collision. What was really chilling was, forty-five minutes after hitting the car, a baby started crying. The baby was up under the dashboard and the driver and passenger were not in a condition to tell us. As having been a Locomotive Engineer I'LL gladily admit to being whistle happy. I rarely talk about this part of my RR career.