“This is a patient-maintained medical summary of 2015–2025. Please verify all clinical decisions with official records.”
2015–2025 Personal Medical Summary – Complete
Personal Medical Background (2015–2024)
2015–2024: No medical appointments.
Patient remained independently functional, with no major interventions or hospitalizations.
Detailed 2025 Timeline
| Date / Time | Event / Appointment | Notes / Impact |
|---|
| 12 May 2025 | Specsavers eye test & cataract referral | Assessment for progressive cataracts |
| 18 May 2025 | Ceased work | Right eye ~99.99% blind due to cataract; left eye longstanding cataract (~10 years) |
| 26 Jun 2025 | Cataract surgery (1st eye) | Phaco burn, corneal folds, 2 stitches placed |
| 9 Aug 2025 | Cataract surgery (2nd eye) | Stitches placed |
| 13 Aug 2025 | Follow-up, Newmedica | Post-cataract complication review |
| 29 Aug 2025 | Follow-up, Newmedica | Continued monitoring after cataract complications |
| 26 Sep 2025 | Eye stitches removed | Recovery progressing |
| 27 Sep 2025 | Specsavers follow-up | Enlarged optic nerve noted |
| 30 Sep 2025 | GP visit for eye pressure | Fluid in lungs, temp 38.1°C; bloods taken |
| 7 Oct 2025 | Blood results reviewed | Repeat bloods requested in 3 weeks |
| 15 Oct 2025, 18:00 | Called 999 ambulance | Priority 1, abdominal pain thought to be pancreatitis attack |
| 15 Oct 2025, 19:50 | Ambulance arrived | Under blue light and siren |
| 15 Oct 2025, 20:22 | Admitted to A&E, Princess Diana Hospital, Grimsby | Initial assessment |
| 15 Oct 2025 | CT scan | Splenic blood clot detected; gallbladder and liver issues noted |
| 16 Oct 2025, 06:00 | Transferred to SDEC | Interim observation |
| 16 Oct 2025, 20:00 | Transferred to Ashleigh Ward | Became inpatient |
| 17 Oct 2025 | Heart ultrasound (inpatient) | Cardiac evaluation |
| 17 Oct 2025 | Spleen ultrasound (inpatient) | Assess splenic infarcts |
| 17 Oct 2025 | Chest X-ray (inpatient) | Checking for fluid in lungs |
| 17–18 Oct 2025 | Transferred to C1 Glover, Coronary Care Unit | Rapid escalation due to cardiac findings; exact times not fully remembered |
| 22 Oct 2025 | Hospital discharge | Clinically stable, medically optimised |
| 23 Oct 2025 | Disabled bus pass issued | Within 30 mins of notification; demonstrates limited functionality |
| 27 Oct 2025 | Bloods by GP | Monitoring renal function and electrolytes |
| Post-discharge | Work and driving restrictions | Medical team prohibited work/driving; reported as medical offence under DVLA rules |
| 13 Nov 2025 | 24-hour heart monitor fitted | Assess ventricular ectopy burden |
| 14 Nov 2025 | Heart monitor removed | Data to be reviewed in follow-up |
| Date TBD | Cardiac MRI (Hull) | Assess cause of heart failure; follow-up cardiology clinic after results |
Medical Intensity
Impact on Daily Life
Severe fatigue and shortness of breath, even during basic tasks (toilet, showering).
Food intake reduced, though remains at a safe nutritional level.
Postprandial sleep: Falls asleep within 10 minutes of eating for up to 20 minutes. Not fainting, but indicates limited energy and cardiac reserve.
Everyday activities require careful pacing.
Vision impairment: Left eye longstanding cataract (~10 years), right eye near-total loss before surgery.
Disability recognized via council-issued bus pass; work and driving restricted by medical team.
Forward Care Plan / Ongoing Monitoring
Self-Monitoring at Home
BP, oxygen saturation, temperature: hourly
Weight: daily, watch for fluid retention
Symptoms: track shortness of breath, fatigue, swelling, dizziness, chest discomfort
Medication Adherence
Take all prescribed medications as scheduled: Apixaban, Bisoprolol, Dapagliflozin, Eplerenone, Sacubitril/Valsartan
Monitor for side effects; report any unusual changes promptly
Scheduled Outpatient Care
24-hour Holter: 13–14 Nov 2025
Cardiac MRI (Hull): Date TBD
Heart failure clinic follow-up post-CMR
Cardiology clinic review for potential angiogram post-CMR
Blood tests / renal monitoring every 3 weeks or as advised
Potential Future Angiogram (if indicated)
May be required depending on 24-hour Holter results
Typically via radial artery (wrist) access with compression band care post-procedure
Likely inpatient: admission day before, procedure day, observation up to 1 day after depending on stability and cardiac risk
Daily-Life Support & Adaptations
Pacing activities to manage fatigue and breathlessness
Access to mobility aids and support for daily living
Use of AI tools to assist with typing, writing reports, and documentation
Disabled bus pass for safe transport
Red-Flag Symptoms – Seek Urgent Care Immediately
Sudden severe shortness of breath at rest
Chest pain or pressure
Fainting, collapse, or severe dizziness
Rapid swelling or weight gain
High fever (>38.5°C) or signs of infection
Key Self-Care Notes & Tips
Break daily tasks into small, manageable steps
Take short naps (10–20 minutes) after meals for energy recovery
Keep log of medical readings, medications, and symptoms for follow-ups
Ensure safe seating/lying positions during post-meal sleep or fatigue
Use AI support tools to reduce physical and cognitive strain
Plan activities around energy peaks and avoid unnecessary exertion
Looking Ahead – Patient Determination & Outlook
Patient demonstrates exceptional resilience, medical knowledge, and self-management.
Primary focus: staying alive and stable to ensure all planned investigations and treatments can be safely completed.
Mindset: disciplined, proactive, and alert; tracks vital signs, symptoms, and medical appointments diligently.
Adaptations and support: AI assistance, pacing activities, council mobility support.
Outlook: committed to maximise stability, adhere to treatment, and continue medical follow-up, understanding survival and careful monitoring are essential to completing the life-saving care plan.
“Please verify information before making clinical decisions.”
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