Overview
Current health issues
- ASCVD
- Benign essential hypertension
- Chest pain
- Hypertensive emergency
- NSTEMI
- Purple Nutsedge (Cyperus Rotundus) — Anaphylaxis, Severe
- Peanut — Wheezing
- Walnut — Wheezing
The November 2026 Hospital Stay
Encounter 1 — November 12, 2026 · Emergency Department
Where: Huntington Emergency Department · Seen by: Dr. Vander Meulen, MD
Reason: Chest Pain, Hypertension
Diagnoses: NSTEMI; Hypertensive emergency
Vitals: BP 160/116 · Pulse 82 · Temp 98.1°F · Resp 18 · O2 97%
Troponin-I HS: 70.7 (High Panic; reference 0–20 ng/L), 11/12/2026
Given: Aspirin (baby), 11/12/2026 4:30 PM
Encounter 2 — November 13–14, 2026 · Admitted
Where: Emergency Department → Hh St45 Med/tele (admitted) · Seen by: Lisa Marie Rogers, NP
Discharge Summary: signed 11/14/2026 2:18 PM by Justin Kilby Levy, MD
36-year-old male with hypertension and hyperlipidemia, admitted 11/13/2026 for intermittent left-sided chest pain radiating to the shoulder with leg numbness; admitted for chest pain due to hypertensive urgency. Telemetry; home antihypertensive regimen. Lexiscan stress negative for acute ischemia.
Discharge instructions: follow up with PCP in one week; buy a BP cuff for daily readings.
Follow-up: Salman Khan, MD, 1701 E Cesar Chavez Ave Ste 306, Los Angeles, CA 90033 · 323-225-2550
Key Test Findings
- Nuc Card Myo Perf SPECT Stress/Rest, 11/14/2026: no evidence of myocardial ischemia or infarct; gated SPECT LVEF 43%.
- CT Heart WO IV contrast, eval coronary calc, 11/13/2026: total calcium score 34, mild/minimal plaque burden.
- Transthoracic Echo (TTE), 11/13/2026: EF 55–60%, mild LV hypertrophy, mildly dilated left atrium, PASP normal 14 mmHg; technically difficult study.
- CT Angio Chest, 11/13/2026: no systemic arterial aneurysm/dissection; no acute pulmonary embolism.
- X-ray Chest 1 view, 11/12/2026: clear lungs, no pneumonia, no pneumothorax; aortic root 3.0 cm (upper normal).
Test Results — November 12–14, 2026
35 test results in total, all from the November 2026 stay. The individually named results:
November 14, 2026
- NUC CARD MYOCARDIAL PERFUSION SPECT STRESS/REST
- Nuclear Stress Test
- CARDIAC RHYTHM STRIP
- METABOLIC PANEL, BASIC (BMP)Abnormal
- BRAIN NATRIURETIC PEPTIDE
- MAGNESIUM
- Troponin-I HS Single OrderAbnormal
- PROBNP, N-TERMINAL
November 13, 2026
- CARDIAC RHYTHM STRIP ×2
- Troponin-I HS Single Order ×2Abnormal
- CT HEART WO CONTRAST EVAL CORONARY CALC
- HEMOGLOBIN A1C ONLY
- Transthoracic Echo (TTE)
- SEDIMENTATION RATEAbnormal
- PROTIME-INR
- CT ANGIO CHEST
- DRUG SCREEN COMPREHENSIVE URINE
- Troponin-I HS 2nd orderAbnormal
- BRAIN NATRIURETIC PEPTIDE
- C-REACTIVE PROTEIN
- CBC WITH DIFFERENTIAL
- TSH
- LIPID PANELAbnormal
- COMPREHENSIVE METABOLIC PANELAbnormal
- Troponin-I HS Initial and 2nd orderAbnormal
November 12, 2026
- EKG 12 LEAD ×2
- CBC WITH DIFFERENTIAL
- COMPREHENSIVE METABOLIC PANELAbnormal
- Troponin-I HS Initial and 2nd orderAbnormal
- Troponin-I HS Single OrderAbnormal
- XRAY CHEST 1 VIEW
Medications — Current (4)
| Medication | Details |
|---|---|
| Atorvastatin 40 mg | Tablet, nightly. Started 11/14/2026, prescribed by Justin Kilby Levy, MD. Quantity 30 / 30-day supply. CVS #9668, Pasadena. |
| Losartan 50 mg | Tablet. Continue (documented by Francisco Rodriguez). |
| Metoprolol succinate 25 mg SR | 24-hour tablet. Continue (documented by Francisco Rodriguez). |
| Nifedipine 30 mg ER | 24-hour tablet. Continue (documented by Francisco Rodriguez). |
Progress Tracker
Log daily BP readings (per the discharge plan), pulse and weight. Entries are stored in this browser on this device only — they do not sync between devices.
| Date | BP | Pulse | Weight | Note |
|---|
Blood pressure trend SystolicDiastolic
Weight trend (lb)
Open Items
- Follow up with PCP in one week (per discharge summary, 11/14/2026) and take daily BP readings with a home cuff.
- Overdue: Hepatitis C screening; DTaP/Tdap/Td; Influenza vaccine.
- Immunizations: no immunizations on file.
- Portal exports still being prepared by Cedars-Sinai: computer-readable export (CCD/CCDA-style) and the all-visits download — requested 11/14/2026, status “Not yet ready”; the portal will notify when ready.
- Unsigned document in the portal: SOFA — Summary of Financial Assistance HH, sent 11/13/2026 (left unsigned).
Documents on File
Official PDFs downloaded from My CS-Link on 11/14/2026 and kept in the private records folder. They are not hosted on this page.
- Discharge Summary — 11/14/2026, Justin Kilby Levy, MD
- After Visit Summary — Nov 13–14, 2026 ED stay (Hh St45 Med/tele)
- After Visit Summary — Nov 12, 2026 ED visit (Huntington ED)
- Test Results list — 35 results, Nov 12–14, 2026
- Medications list — 4 current medications
- Health Summary page
- Patient Health Summary export — requested 11/14/2026 (expires 05/13/2027)
- My Documents list
- Requested Records status