Levine/Niven Family Medical History⚓︎

Document Version: 1.0
Last Updated: July 22, 2025
Compiled by: Dave Levine (Age 37, Male)

Personal Medical History Summary⚓︎

Current Age: 37
Gender: Male
Height: 6 ft 2.0 in
Weight: 220.0 lb
BMI: 28.2 kg/m²
Blood Pressure: 125/77 mm Hg
Smoking Status: Former smoker

Current Diagnoses⚓︎

• Elevated liver function tests
• Obstructive sleep apnea
• Tinnitus of left ear
• Hyperlipidemia (high cholesterol)
• Bilateral impacted cerumen (earwax)
• Depression
• Chronic fatigue
• Attention disturbance
• GERD (gastroesophageal reflux disease)
• Microscopic hematuria (blood in urine)
• Decreased hearing of left ear
• Strain of lumbar region
• Muscle strain

Current Medications⚓︎

• Ear Wax Removal Kit 6.5% Otic Solution (as needed)
• Escitalopram Oxalate 20 MG Oral Tablet (daily for depression)
• Atorvastatin Calcium 10 MG Oral Tablet (daily for cholesterol)

Allergies⚓︎

• Penicillins
• Erythromycin Derivatives

Summary of Key Family Patterns⚓︎

• Cardiovascular Disease: Multiple cases of heart attacks, coronary artery disease (blocked heart arteries), and elevated lipids (high cholesterol)
• Cancer: High prevalence of colon cancer across multiple family lines; also includes breast, prostate, and bladder cancers
• Diabetes: Several cases of Type 1 diabetes mellitus (insulin-dependent diabetes requiring daily injections)
• Eye Conditions: Adult macular degeneration (central vision loss), glaucoma (eye pressure damage), and cataracts (clouded lens)

Detailed Family History⚓︎

Risk Assessment Notes⚓︎

High-Risk Patterns Identified⚓︎

• Colon Cancer: Multiple family members affected across both maternal and paternal lines, some with early onset
• Cardiovascular Disease: Strong pattern of heart disease, elevated lipids, and related complications
• Type 1 Diabetes: Multiple cases, particularly on paternal side
• Patient Risk Factors: Current hyperlipidemia (already being treated), former smoking history, elevated BMI

Age-Related Risk Considerations⚓︎

• Living family members with advanced age: Bella (90), Harold (83), Shirley (79), Barbara (77), Hugh Jr. (76) - demonstrating longevity despite health conditions
• Early onset patterns: Archibald Jr. (Alzheimer's at 55), Hugh Sr. (heart disease at 51), Bernard (heart attack at 62)

Environmental Considerations⚓︎

• Former smoking history: Increases risk for cardiovascular disease, COPD, and various cancers
• Current BMI 28.2: Overweight category, contributing to cardiovascular and diabetes risk

Medical Terms Reference⚓︎

Key Conditions Explained⚓︎

• Atherosclerotic Heart Disease (ASHD): Hardening and narrowing of arteries due to plaque buildup
• Coronary Artery Disease (CAD): Blocked or narrowed heart arteries reducing blood flow to heart muscle
• Congestive Heart Failure (CHF): Heart cannot pump blood effectively throughout the body
• COPD: Lung disease making it hard to breathe, often from smoking or air pollution
• Diverticulitis: Inflammation of small pouches that can form in intestinal walls
• Ductal Carcinoma In Situ (DCIS): Early-stage breast cancer confined to milk ducts, highly treatable
• GERD: Gastroesophageal reflux disease - stomach acid backing up into esophagus
• Hyperlipidemia: High levels of fats (cholesterol/triglycerides) in blood
• Macular Degeneration: Eye condition causing loss of central vision, common with aging
• Type 1 Diabetes Mellitus: Autoimmune condition where pancreas produces little/no insulin

Procedures Explained⚓︎

• Coronary Artery Bypass Graft (CABG): Surgery creating new routes around blocked heart arteries
• Lumpectomy: Surgical removal of breast tumor while preserving most of the breast
• Mohs Surgery: Precise technique removing skin cancer layer by layer until clear margins achieved
• Prostatectomy: Surgical removal of prostate gland, typically for cancer treatment

Medical Abbreviations Reference⚓︎