These are notes from Jerry's information. Needs to have face-to-face visit with physician.
Problem list:

1.Alcoholism – admitted September 13 for three days to Allegheny Gen., demonstrated abnormal labs with an elevated lactic acid, lipase, reduced platelets and other findings. Chest x-ray okay. EKG read out as showing inferior posterior infarct. Copy not available. This needs to be obtained and repeated in view of risk factors.

2. Anxiety/depression – on two agents trazodone and sertraline. This seems rather odd to have started to agents rather than one. Will asked to discontinue trazodone or sertraline probably the former.

3. Create a note for Jerry to signoff sharing information.

4. Recommendations regarding therapy and other thoughts regarding alcoholism. Presently attending AA meetings. Apparently did not have great support for facilities of choice for rehab, may need to revisit this.

5. Had a CT scan of the chest for cancer screening 2021 which demonstrated some calcification of the coronary arteries, findings consistent with emphysema, no cancer. Additional CT scan of the abdomen performed September 14 revealed up automatically hepatic steatosis, calcification of vessels.

6. Risk factors – heavy smoker, age, sex – male, coronary calcification and other vascular calcification seen on CT scan performed during hospitalization of September 13, 2025, abnormal EKG? Would like to have actual copy including a repeat of EKG at office visit. Family history sister Trish died at 71 has significant cardiovascular disease including carotid disease and coronary disease, probably died from myocardial infarction.

7. In reviewing labs it's noted that platelet count has normalized, CO2 was somewhat low at 20.

8. Needs to have face-to-face visit with physician

9. Establish access to portal.

Notes for Jerry to use in his interaction. Request that brother who is physician, Dennis Gabos MD, be listed on chart as contact in addition to his son Josh so that medical questions and information can be discussed.

It needs to be indicated to doctor that September 13 was a wakeup call regarding the severity of his medical issues mostly alcoholism at that time when admitted with dehydration with two days of vomiting in the setting of alcohol abuse, acidosis, low platelet count. Has been on various vitamins, a PPI – pantoprazole, and interestingly to antidepressant agents.
Need to request a face-to-face evaluation by primary doctor in addition to APP. Need repeat EKG, screening CT for cancer in view of smoking, given risk factors abnormal EKG and some chest pain syndrome in the past and possibly presently stress test is warranted.