Joan Ellis complains of

Page 13 - shows Joans' PT is high on her blood work

A PT test / Prothrombin Time test measures how quickly your blood clots. It is also called a PT, pro time, or INR test. Doctors will perform this test to check for Normal blood clotting before you have surgery or to test for bleeding disorders and other issues. A HIGH READING means your blood is taking longer than normal to clot . Joan's PT test came back high thus her prolonged clotting time is now noted. This high reading on her PT test along with her other complaints points to an allergy to aspirin and it continues to get progressively worse. Aspirin is noted in her medication records.

On March 9, 2009, Joan states she has been having stomach problems and chest pain ever since she had the gallbladder surgery in November of 2008 in which she bled for 7 hours after surgery and complained about it. Her diagnosis is atypical chest pain and extreme fatigue. Again symptoms of an allergic reaction to aspirin. They also note that Joan does NOT have an skin issues Page 59 and the body diagram shows Joan has sores on her legs Page 38. A Cat Scan of Joans' abdomen and pelvis is conducted. The CT indicates no acute findings.

Reinhart then "suggests" mother has Coronary Artery Disease and calls in another doctor to pursue the heart issues with mom and Joan declines. Joan knows she doesn't have heart issues. Her issue is stomach cramping / pain which is in fact a symptom of an allergy to aspirin. Joan states she hasn't felt right since the gallbladder surgery. The nurse notes the scar on Joans' neck on the left side - which is missing from the autopsy report and a scar on her upper thigh. When did she get a scar on her upper thigh ?

Page 38 - Body diagram shows Joan has sores on her legs.

Page 59 - Discharge notes says there is nothing wrong with Joans skin.

Page 35 Surgical Hx: Csection, Gallbladder, Right CEA , Tubal, Appendix (correct)

Page 28 - 31 Meds

Page 26 Discharge Diagnosis: Valvular Heart Disease

Page 25 Possibility of Silent Coronary Heart Disease (Not Confirmed)

Page 24 Heart has a regular rhythm and rate. Cardiac enzymes repeated x 3 have been normal with highest troponin at 0.06, myoglobin and CK all within normal limits. Her BP meds were held except for Metoprolol. Her Blood Pressure was good through the night at 90/50. Her breathing was poor until she was stimulated. Here again Respiratory issues is a symptom of an allergic reaction to aspirin. Joan states her Blood Pressure has been running low and she believes her chest pain is related to her stomach issue. Joan was admitted to rule out silent angina vs heart attack ( MI ). Her EKG was unremarkable. The etiology of her blood pressure fluctuations is unknown. (Blood Pressure spikes is a symptom of an allergy to aspirin)

Joans' Troponin Level Page 12 was tested to see if she had any heart damage and its highest level was 0.06 the normal range is 0.0 to 1.0. Joan's troponin was within normal ranges not indicating any heart issues.

Literature: Normally, troponin is present in very small to undetectable quantities in the blood. When there is damage to heart muscle cells, troponin is released into the blood. The more damage there is, the greater the concentration in the blood. Primarily, troponin tests are used to help determine if an individual has suffered a heart attack. They may also be helpful in evaluating someone for other forms of heart injury. Normal troponin values in a series of measurements over several hours means that it is unlikely that a person's heart has been injured. Signs and symptoms may be due to a cause unrelated to the heart. (Yes like an allergy to aspirin)

Many laboratories in the U.S. use high-sensitivity troponin tests since the Food and Drug Administration (FDA) approved them in 2017. Because this version of the test is more sensitive than previous, older versions, it becomes positive sooner and may help detect heart injury and acute coronary syndrome earlier. The hs-troponin test may also be positive in people with stable angina and even in people with no symptoms. When it is elevated in these individuals, it indicates an increased risk of future heart events such as heart attacks.

When a person has a heart attack, levels of cardiac-specific troponins I and T can become elevated in the blood within 3 or 4 hours after injury and may remain elevated for 10 to 14 days.

https://labtestsonline.org/tests/troponin

https://www.medicalnewstoday.com/articles/325415.php

Page 15 Chest Xray - Heart is borderline enlarged - No acute findings - Jason K Morris, MD

Page 14 CT of Abdomen and Pelvis - Jason K Morris, MD

Findings: A diaphragmatic defect is present along the left crus of the diaphragm resulting in mild herniation of the subdiaphragmatic fat only. Degenerative skeletal endplate and facet arthropathy is present. No acute pathologic skeletal findings are evident.

Numerous diverticula are present along the lower descending and sigmoid colon segments.

Diverticular is a common condition that is characterized by the presence of pouches in the wall of the colon, called diverticula. In most cases, diverticula do not cause any symptoms, but sometimes they can become inflamed and/or infected, which causes a condition called diverticulitis.

This does not match page 6 Alimentary Tract of The Autopsy which states the small AND large intestines showed no lesions or abnormalities. If numerous diverticular were present on Joans Lower Descending and sigmoid colon then these pouches should be visible during an autopsy and none were noted. Someone is not telling the truth !! https://www.gastrojournal.org/article/S0016-5085(71)80154-3/pdf

Page 11 No MI - No heart attack and Liver Functions are fine - Dr. Shabbir Dharamsey

Page 10 Diaphoresis (sweating with no clear cause) and palpitations. No Carotid Brutes. (symptoms of an allergy to aspirin)

Joan states that her issue is epigastrium (pain or discomfort right below your ribs in the area of your upper abdomen) and chest pain.

Sharons' Note: Chest pain can be caused by other things and not necessarily a heart attack. Angina is tightness in the chest and that is also a symptom of an allergic reaction to aspirin. Below is literature that discusses chest pain and stomach issues.

Digestive causes of chest pain

When chest pain-particularly pain in the lower chest- is triggered by a meal,it is likely to emanate from the digestive system, rather than from the heart, and can be due to the following:

Acid reflux or heartburn. When acid from the stomach flows up into the esophagus, it can cause a burning sensation in the chest reminiscent of a feeling of angina or often mistaken for a heart attack.

https://www.health.harvard.edu/diseases-and-conditions/other-conditions-may-be-causes-of-chest-pain

Page 7 & 8 Symptoms: Edema to lower extremities ,fatigue, weakness, dizziness, nausea, shortness of breath and chest pain - all symptoms of a reaction to aspirin.

Page 8 Pulses palpable to all extremities

Page 6 Dr. Jeff Reinhart signs off on the coding sheet for Joan on 3/20/2009 which states has endocartisis valve NOS cause NOS

Endocarditis generally occurs when bacteria, fungi or other germs from another part of your body, such as your mouth, spread through your bloodstream and attach to damaged areas in your heart. If it's not treated quickly, endocarditis can damage or destroy your heart valves and can lead to life-threatening complications. Treatments for endocarditis include antibiotics and, in certain cases, surgery.

Sharon Subjective Note:

Symptoms of endcocarditis valve does have some similar symptoms to that of an aspirin allergy but Joans' symptoms were not indicative of the main symptoms of endocarditis. This is a mis-diagnosis and lack of research on the part of Dr. Jeff Reinhart.

3/9 JOAN STATES SHE GOT THE FLU VAX AND PNEUMONIA VAX IN 2008

DISCHARGED ON 325 MG ASA / Aspirin ( the very thing causing all her problems ) When I get to Baptist Medical Records in 2017 you will see that indeed her issue is the aspirin documented by Dr. Blake Phillips, neurosurgeon who cut Joans' head open because her brain hemorrhaged while under the care of Baptist Hospital just after a surgery they claimed their doctor performed. I will get to it .

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