Specialties Provided: Cardiology
Procedures Conducted: Left Heart Catheterization
Patient C was referred to the cardiologist at Medina Clinic from the Henry J. Austin Health Center (HJAHC) with a reported diagnosis of abnormal electrocardiogram on November 17, 2017. Patient is instructed by Patient Care Navigator to perform diagnostic tests required by Medina cardiologist. These tests are — Echocardiogram, Electrocardiogram, Stress Test, Complete Metabolic Panel (CMP) and Complete Blood Count (CBC). In order to cover the cost of completing these tests without health insurance, patient enrolled in charity care at St. Francis Medical Center and Capital Health Regional Medical Center. Upon completion of all tests by December 2017, patient’s documents were sent to the cardiologist to review and schedule an initial evaluation.
Patient was given a January 2018 appointment. Patient attended the appointment and upon review and assessment, the cardiologist determined that the patient would need a cardiac catheterization procedure conducted soon. As cardiologist is St. Francis affiliated and patient had already enrolled in St. Francis charity care, scheduling the procedure did not pose much difficulty. Patient was scheduled for a February 2018 procedure.
The post-operative note of the procedure indicated that the patient tolerated the procedure very well. Catheterization findings included small vessel diffuse disease, about 50% diffuse disease, and 40% tubular lesion in the distal area of the left anterior descending artery (LAD). Patient was seen in the cardiologist’s office for a follow up two weeks later on February 2018. Cardiologist determined that patient is doing well and denies any chest pain. Patient was prescribed medications and was instructed on lifestyle changes for health maintenance. Patient was discharged, and would schedule appointments as needed in the future.