Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test abnormal, Loss of personal independence in daily activities, Magnetic resonance imaging abnormal, Malaise, Myocardial necrosis marker increased
Clinical narrative: She got her vaccine, felt like right away she started having chest pain.  That went on until 5 days before she landed into the hospital she got so sick that she thought she was dying.  She was also having heart pain, and has never had this symptom before.  She called her daughter up to tell her that she had been sick for 5 days.  Her daughter came and took her to UC and they took one look at her and put her on oxygen and did an MRI.  The doctor came in holding the scan and he said that she had 8 blood clot sin her logs and one of them is so old that it was resolving.  She was accumulating them and she also had pulmonary hypertension.  Her blood work showed that her cardiac enzymes were the highest he had ever seen, which he said he had heart involvement.  Her oxygen saturation was 76%, which he said was not conducive to life and that she had right sided failure/involvement, and that her heart was in trouble.  She informed him that she had been sick for 5 days, and was told that she probably did not have enough oxygen to be able to think of solutions or come in quicker.  She was then taken by ambulance to Hospital and got there at 11:45 PM and this doctor came in just real puffed up and full of  himself, and he said that normally this time of night you would not be able to meet me, but I am here because we had a meeting.  She was seen in the ER and verified what the UC said.    She was given a DNR bracelet on her which was not discussed with her or how sick she was.  The next day they were running tests, was told that she was going to be on Pradaxa 150 mg twice a day and will be on it the rest of her life.  She was admitted to the hospital, was there for 2 nights in the hospital.  The next morning they discharged her with no comment to her about the bracelet on her arm which did not say no resuscitation, just a colored bracelet.  She was extremely sick, could not breath, and discharged her.  He did not discuss the seriousness of her condition, treatment plan or anything.  Nobody ever told her what was wrong with her heart other than her lab work was off the charts.   She was sent home on oxygen, lives alone and has nobody to help her, and given the blood thinners, and had to give her shots in her stomach for a while as well.  She told them that she was going to have some help at home as she could not get from point A to point B in her home as she has not been able to get up and walk around for 5 days, and told her that they would have PT come out and do a home safety evaluation.  They never offered her any home health aide or care.  The PT came a time or two to do exercises to do on her own.  Her PCP did not discuss a core status with her, and felt like people did not want to discuss with her how sick she was.    It took a year and a half for the blood clots to dissolve, and was this year before they dissolved.  Had x-rays that revealed that.  Once she got on the medicine and the oxygen she was not having pain.  For pulmonary hypertension her PCP sent her to a cardiologist, and all he did for her was start her on Viagra and Cialis and she had reactions and could not take it.  She took another Adempas from February to April and has continued with the inhalers.  You get 90 tablets in a container taken twice a day for a month and she did that for 3 months.  She got 3 bottles from clinic  and hand delivered to her overnight and she had to sign for her.  She took it for 3 months, and by the third month her legs which she never has edema, has up to 4+ pitting edema and having difficulty breathing.  The cardiologist said that to  help her pulmonary hypertension we want to vasodilate the veins so that she will be able to circulate and breath better.  Her veins and arteries opened wide open and they filled up with fluid and turned into "tree trunks", could not breath.  On 5/3/23 she was talking to the cardiologist on the phone with a visit, and she evidently was not making any sense to him and she believes he called EMS, and was taken to Hospital.   She was there from 5/3/23 to 5/7/23, and there is no report that she had taken this medicine and had stopped taking the medicine and within 3 days the edema disappeared.  When she got home   that the 2 night stay 2 years ago and the recent stay from this year was $49,000 in change.  She had an MRI and a scan of her lungs.   She was told that a social worker would come to the house for a home evaluation, what she needed in the house, and a month later she had about 6 PT treatments.  She called the social worker in the hospital asking what type of FU and they do not have any social workers just PT and OT.   They called her daughter to meet with the PT, social worker and a doctor to see about what she needed.  They promised her that they would get the power of attorney and other information/paperwork to sit down and do a reverse mortgage.    She has a nephrologist for her failing kidney's and has yet to have any of them to say that she was end of life and was dying.   When she saw the nephrologist he called her doctors and got things moving for her.  She now is able to get around with the new oxygen machine that is maintained on her medicine.