Enhancing Fitness in Older Pre-diabetic Veterans

• Sponsor: US Department of Veterans Affairs (U.S. Fed)
• Overall Status: Completed
• CT.gov ID: NCT00594399
• Collaborator: (none)
• Enrollment: 302
• Location: 1
• Arms: 2
• Duration (Months): 32
• Patients Per Site Per Month: 9.4

Study Details

Study Description

Brief Summary

This study targets older adults (ages 60 and over) who are overweight (body mass index 25-40) with impaired fasting glucose (100 - 125). We propose a three-year, randomized controlled clinical trial (n=300) to determine the effect of a one-year physical activity counseling intervention on glucose metabolism and secondary outcomes compared to usual care.

Condition or Disease	Intervention/Treatment	Phase
Impaired Glucose Tolerance; Obesity; Diabetes	Behavioral: Physical Activity Counseling	Phase 2/Phase 3

Detailed Description

IMPACT. Our proposed project will contribute to improved quality and efficiency of VA health care by: (1) providing an effective program of Enhanced Fitness counseling that will result in a significant increase in physical activity of sufficient magnitude to achieve noted improvements in glycemic control, and (2) developing and disseminating materials that can be used throughout the VHA for physical activity promotion for older, overweight adults.

BACKGROUND. The nation is experiencing a marked increase in obesity, and diabetes. Users of the VA medical facilities report higher than national average rates of obesity and diabetes. Current projections indicate that 70% of veterans using the VA medical care are overweight, 20% have diabetes, and 30- 40 % have metabolic syndrome. Approximately 30 % of VA health care costs are attributable to care for diabetes alone. Incidence and prevalence of these conditions increase with age and are associated with high medical costs. This is especially true of the older adult who typically has added comorbidities and functional limitations. The VHA has aggressively addressed the existing epidemic by implementing various programs and performance measures aimed at attaining optimal medical management of dyslipidemia, diabetes, and obesity. The component of all of these initiatives that has received the least amount of attention is physical activity despite overwhelming evidence that physical activity can favorably alter all of the medical conditions described above. The VA system-wide has been ill equipped to provide feasible, cost effective physical activity programs despite the imperative to seek ways to reduce incident diabetes and reduce potential health care costs.

OBJECTIVES. We propose an innovative home-based enhanced fitness counseling intervention that involves a unique partnership between veteran, primary care provider, and exercise counselor directed at the older adult. The proposed project, Enhanced Fitness, seeks to improve glycemic control in older, overweight adults with impaired fasting glucose receiving primary care at the VA. A novel design, adaptive randomization, will allow us to assess the impact of our intervention at an early stage and then reassign individuals to a more intense or reduced intervention based upon patient compliance. Due to the national implementation of MOVE! in primary care for the treatment of obesity we will consider MOVE! as part of usual care for this population. Primary Hypothesis. Compared to usual care (plus MOVE!), individuals receiving Enhanced Fitness counseling will have significantly improved glucose metabolism (fasting insulin). Secondary Research Hypotheses and Objectives. (1) Compared to usual care (plus MOVE!), individuals receiving Enhanced Fitness counseling will have significantly improved secondary outcomes related glycemic control (fasting blood glucose, HOMA-IR, HbA1c, metabolic syndrome score), physical function (self report and physical performance), disability, and health related quality of life; and (2) To determine differences in cost and health care utilization between groups.

Note: 7/5/2010: An amendment was submitted and approved to drop the adaptive randomization component of the study. This was necessary due to low levels of noncompliance observed during the first follow-up assessment. The primary and secondary objectives of the study were not affected by this amendment.

Another amendment was submitted and approved to: 1) evaluate the association between APOE, diabetic risk and physical function; and 2) to examine associations between inflammatory markers, diabetic risk, and physical function.

METHODS: For the proposed study we will target older adults (ages 60 and over) who are overweight (body mass index >24-40) with impaired fasting glucose (100 - 125). We propose a three-year, randomized controlled clinical trial (n=300) to determine the effect of our 1-year Enhanced Fitness counseling intervention on glucose metabolism. A novel design, adaptive randomization, will allow us to mimic primary care by altering treatment based upon patient compliance. We will use a "train the trainers" approach for dissemination of results at the local, VISN, and national level.

Study Design

• Study Type: Interventional
• Actual Enrollment: 302 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: None (Open Label)
• Primary Purpose: Prevention
• Official Title: Enhancing Fitness in Older Overweight Vets With Impaired Fasting Glucose
• Study Start Date: Oct 1, 2008
• Actual Primary Completion Date: Mar 1, 2011
• Actual Study Completion Date: Jun 1, 2011

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Arm 1 Physical Activity counseling Physical activity (PA) counseling program with the following components: baseline in-person counseling session; telephone calls, one physician endorsement of PA in a primary care clinic visit, monthly automated telephone calls from the primary care provider encouraging PA; and quarterly mailed materials providing personalized feedback.	Behavioral: Physical Activity Counseling; Physical activity (PA) counseling program with the following components: a baseline in-person counseling session; telephone calls biweekly for 6 weeks then monthly; one physician endorsement of PA in a primary care clinic visit; monthly automated telephone calls from the primary care provider encouraging PA; and (5) quarterly mailed materials providing personalized feedback.
No Intervention: Arm 2 Usual care from primary, womens or geriatric clinics

Outcome Measures

Primary Outcome Measures

1. Fasting Insulin [Baseline]

   Fasting Insulin analyzed at VA central laboratory by technicians not affiliated with study. Participants were instructed to refrain from eating or drinking anything except water and medications past midnight. A reminder call was placed the night before the scheduled appointment and fasting was verified by study personnel before appointed blood draws.

2. 3 Month Fasting Insulin [3 month]

3. 12 Month Fasting Insulin [12 months]

4. Fasting Glucose [Baseline]

5. 3 Month Fasting Glucose [3 months]

6. 12 Month Fasting Glucose [12 Months]

Secondary Outcome Measures

1. Physical Activity, Endurance [Baseline]

   Physical activity, endurance/aerobic activities by self-report from the CHAMPS questionnaire of physical activity for older adults.

2. Physical Activity, Endurance [3 months]

   Physical activity, endurance/aerobic activities by self-report from the CHAMPS questionnaire of physical activity for older adults.

3. Physical Activity, Endurance [12 Months]

   Physical activity, endurance/aerobic activities by self-report from the CHAMPS questionnaire of physical activity for older adults.

Eligibility Criteria

Criteria

• Ages Eligible for Study: 60 Years and Older
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Inclusion Criteria:

• VA patients followed by the Durham VA Primary Care, Women's Health, and Geriatric clinics

• Must have had more than one visit to the VA in preceding 12 months

• Age 60 and over

• Impaired glucose intolerance documented by recent fasting blood glucose between 100 and 125 mg/dL

• Body mass index between 25-40 kg/m2

• Able to walk 10 meters without human assistance (assistive device acceptable)

• All participants must be assigned a primary care provider and have had more than one visit to the VA in the preceding 12 months

Exclusion Criteria:

• Free of frank diabetes

• Fasting blood sugar above 125 mg/dL

• HbA1c > 7%

• Unstable angina

• Recent history of ventricular tachycardia

• Unstable chronic obstructive pulmonary disease (two hospitalizations within the previous 12 months and/or on oxygen)

• Uncontrolled hypertension (diastolic blood pressure >110 mm/Hg or systolic > 200mm/Hg)

• Stroke with moderate to severe aphasia

• Diagnosis of chronic pain which may interfere with their ability to be physically active

• Diagnosis of unstable mental or behavioral disorder

• Diagnosis of memory loss or dementia

• Visual or hearing loss severe enough to interfere with ability to receive telephone counseling and review written materials

• Active substance abuse

• A terminal diagnosis

• Followed by VA for medications only

• Regularly, vigorously physically active for six months or longer.

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Durham VA Medical Center, Durham, NC	Durham	North Carolina	United States	27705

Sponsors and Collaborators

• US Department of Veterans Affairs

Investigators

• Principal Investigator: Miriam C. Morey, PhD, Durham VA Medical Center, Durham, NC

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• Responsible Party: US Department of Veterans Affairs
• ClinicalTrials.gov Identifier: NCT00594399
• Other Study ID Numbers: IIR 06-252
• First Posted: Jan 15, 2008
• Last Update Posted: Apr 27, 2015
• Last Verified: Aug 1, 2014

• Keywords provided by US Department of Veterans Affairs: Aging; Exercise; Impaired Glucose Tolerance; Obesity; Functional Status; Disability; Health Services Research; Randomized Controlled Trial; Diabetes; Adaptive Randomization Design
• Additional relevant MeSH terms: Glucose Intolerance

Study Results

Participant Flow

Arm/Group Title	Arm 1 Physical Activity Counseling	Arm 2, Usual Care	Arm 3, Physical Activity Counseling, Reduced Dose
Arm/Group Description	Physical activity (PA) counseling program with the following components: baseline in-person counseling session; telephone calls, one physician endorsement of PA in a primary care clinic visit, monthly automated telephone calls from the primary care provider encouraging PA; and quarterly mailed materials providing personalized feedback. Physical Activity Counseling: Physical activity (PA) counseling program with the following components: a baseline in-person counseling session; telephone calls biweekly for 6 weeks then monthly; one physician endorsement of PA in a primary care clinic visit; monthly automated telephone calls from the primary care provider encouraging PA; and (5) quarterly mailed materials providing personalized feedback.	Usual care from primary, womens or geriatric clinics	Upon rerandomization, individuals in this group continued to receive monthly physical activity counseling through 6 months which was then reduced to every other month during months 6-12.
Period Title: Initial 3 Month Counseling
STARTED	180	122	0
COMPLETED	163	118	0
NOT COMPLETED	17	4	0
Period Title: Initial 3 Month Counseling
STARTED	81	118	82
Rerandomization	81	114	82
COMPLETED	79	114	82
NOT COMPLETED	2	4	0

Baseline Characteristics

Arm/Group Title	Arm 1 Physical Activity Counseling	Arm 2	Total
Arm/Group Description	Physical activity (PA) counseling program with the following components: baseline in-person counseling session; telephone calls, one physician endorsement of PA in a primary care clinic visit, monthly automated telephone calls from the primary care provider encouraging PA; and quarterly mailed materials providing personalized feedback. Physical Activity Counseling: Physical activity (PA) counseling program with the following components: a baseline in-person counseling session; telephone calls biweekly for 6 weeks then monthly; one physician endorsement of PA in a primary care clinic visit; monthly automated telephone calls from the primary care provider encouraging PA; and (5) quarterly mailed materials providing personalized feedback.	Usual care from primary, womens or geriatric clinics	Total of all reporting groups
Overall Participants	180	122	302
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]	67.1 (6.3)	67.7 (6.2)	67.2 (6.1)
Sex: Female, Male (Count of Participants)
Female	7 3.9%	3 2.5%	10 3.3%
Male	173 96.1%	119 97.5%	292 96.7%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native	2 1.1%	0 0%	2 0.7%
Asian	0 0%	0 0%	0 0%
Native Hawaiian or Other Pacific Islander	0 0%	0 0%	0 0%
Black or African American	49 27.2%	39 32%	88 29.1%
White	129 71.7%	83 68%	212 70.2%
More than one race	0 0%	0 0%	0 0%
Unknown or Not Reported	0 0%	0 0%	0 0%
usual gait speed (meters/second) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [meters/second]	1.24 (0.3)	1.25 (0.3)	1.24 (0.3)
Physical Function (points) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [points]	62.94 (20.97)	63.97 (21.79)	62.98 (21.0)

Outcome Measures

1. Primary Outcome

Title	Fasting Insulin
Description	Fasting Insulin analyzed at VA central laboratory by technicians not affiliated with study. Participants were instructed to refrain from eating or drinking anything except water and medications past midnight. A reminder call was placed the night before the scheduled appointment and fasting was verified by study personnel before appointed blood draws.
Time Frame	Baseline

Outcome Measure Data

Analysis Population Description

[Not Specified]

Arm/Group Title	Arm 1 Physical Activity Counseling	Arm 2
Arm/Group Description	Physical activity (PA) counseling program with the following components: baseline in-person counseling session; telephone calls, one physician endorsement of PA in a primary care clinic visit, monthly automated telephone calls from the primary care provider encouraging PA; and quarterly mailed materials providing personalized feedback. Physical Activity Counseling: Physical activity (PA) counseling program with the following components: a baseline in-person counseling session; telephone calls biweekly for 6 weeks then monthly; one physician endorsement of PA in a primary care clinic visit; monthly automated telephone calls from the primary care provider encouraging PA; and (5) quarterly mailed materials providing personalized feedback.	Usual care from primary, womens or geriatric clinics
Measure Participants	180	122
Mean (Standard Deviation) [uIU/ml]	10.26 (6.09)	10.39 (8.58)

2. Primary Outcome

Title	3 Month Fasting Insulin
Time Frame	3 month

Outcome Measure Data

Analysis Population Description

[Not Specified]

Arm/Group Title	Arm 1 Physical Activity Counseling	Arm 2
Arm/Group Description	Physical activity (PA) counseling program with the following components: baseline in-person counseling session; telephone calls, one physician endorsement of PA in a primary care clinic visit, monthly automated telephone calls from the primary care provider encouraging PA; and quarterly mailed materials providing personalized feedback. Physical Activity Counseling: Physical activity (PA) counseling program with the following components: a baseline in-person counseling session; telephone calls biweekly for 6 weeks then monthly; one physician endorsement of PA in a primary care clinic visit; monthly automated telephone calls from the primary care provider encouraging PA; and (5) quarterly mailed materials providing personalized feedback.	Usual care from primary, womens or geriatric clinics
Measure Participants	180	122
Mean (Standard Deviation) [uIU/ml]	10.04 (7.21)	10.45 (7.82)

3. Primary Outcome

Title	12 Month Fasting Insulin
Time Frame	12 months

Outcome Measure Data

Analysis Population Description

All of the primary analyses reported here were based upon comparisons to physical activity counseling (Arm 1) versus usual care (Arm 2). No subgroup analyses within the intervention arm were conducted for this primary outcome report. The decision to analyze and report the data in Arm 1 in aggregate was done apriori during design of the study.

Arm/Group Title	Arm 1 Physical Activity Counseling	Arm 2
Arm/Group Description	Physical activity (PA) counseling program with the following components: baseline in-person counseling session; telephone calls, one physician endorsement of PA in a primary care clinic visit, monthly automated telephone calls from the primary care provider encouraging PA; and quarterly mailed materials providing personalized feedback. Physical Activity Counseling: Physical activity (PA) counseling program with the following components: a baseline in-person counseling session; telephone calls biweekly for 6 weeks then monthly; one physician endorsement of PA in a primary care clinic visit; monthly automated telephone calls from the primary care provider encouraging PA; and (5) quarterly mailed materials providing personalized feedback.	Usual care from primary, womens or geriatric clinics
Measure Participants	180	122
Mean (Standard Deviation) [uIU/ml]	11.4 (6.84)	10.28 (5.59)

Statistical Analysis 1

Statistical Analysis Overview	Comparison Group Selection	Arm 1 Physical Activity Counseling, Arm 2
	Comments
	Type of Statistical Test	Superiority or Other
	Comments
Statistical Test of Hypothesis	p-Value	0.43
	Comments	Omnibus test of difference between groups over time with Bonferroni correction and adjustment for baseline value of insulin
	Method	Mixed Models Analysis
	Comments

4. Primary Outcome

Title	Fasting Glucose
Time Frame	Baseline

Outcome Measure Data

Analysis Population Description

[Not Specified]

Arm/Group Title	Arm 1 Physical Activity Counseling	Arm 2
Arm/Group Description	Physical activity (PA) counseling program with the following components: baseline in-person counseling session; telephone calls, one physician endorsement of PA in a primary care clinic visit, monthly automated telephone calls from the primary care provider encouraging PA; and quarterly mailed materials providing personalized feedback. Physical Activity Counseling: Physical activity (PA) counseling program with the following components: a baseline in-person counseling session; telephone calls biweekly for 6 weeks then monthly; one physician endorsement of PA in a primary care clinic visit; monthly automated telephone calls from the primary care provider encouraging PA; and (5) quarterly mailed materials providing personalized feedback.	Usual care from primary, womens or geriatric clinics
Measure Participants	180	122
Mean (Standard Deviation) [mg/dl]	110.51 (6.95)	110.6 (7.1)

5. Primary Outcome

Title	3 Month Fasting Glucose
Time Frame	3 months

Outcome Measure Data

Analysis Population Description

[Not Specified]

Arm/Group Title	Arm 1 Physical Activity Counseling	Arm 2
Arm/Group Description	Physical activity (PA) counseling program with the following components: baseline in-person counseling session; telephone calls, one physician endorsement of PA in a primary care clinic visit, monthly automated telephone calls from the primary care provider encouraging PA; and quarterly mailed materials providing personalized feedback. Physical Activity Counseling: Physical activity (PA) counseling program with the following components: a baseline in-person counseling session; telephone calls biweekly for 6 weeks then monthly; one physician endorsement of PA in a primary care clinic visit; monthly automated telephone calls from the primary care provider encouraging PA; and (5) quarterly mailed materials providing personalized feedback.	Usual care from primary, womens or geriatric clinics
Measure Participants	180	122
Mean (Standard Deviation) [mg/dl]	106.96 (9.59)	107.63 (9.62)

6. Primary Outcome

Title	12 Month Fasting Glucose
Time Frame	12 Months

Outcome Measure Data

Analysis Population Description

All of the primary analyses reported here were based upon comparisons to physical activity counseling (Arm 1) versus usual care (Arm 2). No subgroup analyses within the intervention arm were conducted for this primary outcome report. The decision to analyze and report the data in Arm 1 in aggregate was done apriori during design of the study.

Arm/Group Title	Arm 1 Physical Activity Counseling	Arm 2
Arm/Group Description	Physical activity (PA) counseling program with the following components: baseline in-person counseling session; telephone calls, one physician endorsement of PA in a primary care clinic visit, monthly automated telephone calls from the primary care provider encouraging PA; and quarterly mailed materials providing personalized feedback. Physical Activity Counseling: Physical activity (PA) counseling program with the following components: a baseline in-person counseling session; telephone calls biweekly for 6 weeks then monthly; one physician endorsement of PA in a primary care clinic visit; monthly automated telephone calls from the primary care provider encouraging PA; and (5) quarterly mailed materials providing personalized feedback.	Usual care from primary, womens or geriatric clinics
Measure Participants	180	122
Mean (Standard Deviation) [mg/dl]	104.35 (9.62)	104.38 (11.97)

Statistical Analysis 1

Statistical Analysis Overview	Comparison Group Selection	Arm 1 Physical Activity Counseling, Arm 2
	Comments
	Type of Statistical Test	Superiority or Other
	Comments
Statistical Test of Hypothesis	p-Value	0.91
	Comments	Omnibus test of difference between groups over time with Bonferroni correction and adjustment for baseline value of glucose
	Method	Mixed Models Analysis
	Comments

7. Secondary Outcome

Title	Physical Activity, Endurance
Description	Physical activity, endurance/aerobic activities by self-report from the CHAMPS questionnaire of physical activity for older adults.
Time Frame	Baseline

Outcome Measure Data

Analysis Population Description

[Not Specified]

Arm/Group Title	Arm 1 Physical Activity Counseling	Arm 2
Arm/Group Description	Physical activity (PA) counseling program with the following components: baseline in-person counseling session; telephone calls, one physician endorsement of PA in a primary care clinic visit, monthly automated telephone calls from the primary care provider encouraging PA; and quarterly mailed materials providing personalized feedback. Physical Activity Counseling: Physical activity (PA) counseling program with the following components: a baseline in-person counseling session; telephone calls biweekly for 6 weeks then monthly; one physician endorsement of PA in a primary care clinic visit; monthly automated telephone calls from the primary care provider encouraging PA; and (5) quarterly mailed materials providing personalized feedback.	Usual care from primary, womens or geriatric clinics
Measure Participants	180	122
Mean (Standard Deviation) [minutes per week]	73.39 (119.81)	115.29 (183.66)

8. Secondary Outcome

Title	Physical Activity, Endurance
Description	Physical activity, endurance/aerobic activities by self-report from the CHAMPS questionnaire of physical activity for older adults.
Time Frame	3 months

Outcome Measure Data

Analysis Population Description

[Not Specified]

Arm/Group Title	Arm 1 Physical Activity Counseling	Arm 2
Arm/Group Description	Physical activity (PA) counseling program with the following components: baseline in-person counseling session; telephone calls, one physician endorsement of PA in a primary care clinic visit, monthly automated telephone calls from the primary care provider encouraging PA; and quarterly mailed materials providing personalized feedback. Physical Activity Counseling: Physical activity (PA) counseling program with the following components: a baseline in-person counseling session; telephone calls biweekly for 6 weeks then monthly; one physician endorsement of PA in a primary care clinic visit; monthly automated telephone calls from the primary care provider encouraging PA; and (5) quarterly mailed materials providing personalized feedback.	Usual care from primary, womens or geriatric clinics
Measure Participants	180	122
Mean (Standard Deviation) [minutes per week]	124.3 (127.15)	92.87 (115.01)

9. Secondary Outcome

Title	Physical Activity, Endurance
Description	Physical activity, endurance/aerobic activities by self-report from the CHAMPS questionnaire of physical activity for older adults.
Time Frame	12 Months

Outcome Measure Data

Analysis Population Description

All of the primary analyses reported here were based upon comparisons to physical activity counseling (Arm 1) versus usual care (Arm 2). No subgroup analyses within the intervention arm were conducted for this primary outcome report. The decision to analyze and report the data in Arm 1 in aggregate was done apriori during design of the study.

Arm/Group Title	Arm 1 Physical Activity Counseling	Arm 2
Arm/Group Description	Physical activity (PA) counseling program with the following components: baseline in-person counseling session; telephone calls, one physician endorsement of PA in a primary care clinic visit, monthly automated telephone calls from the primary care provider encouraging PA; and quarterly mailed materials providing personalized feedback. Physical Activity Counseling: Physical activity (PA) counseling program with the following components: a baseline in-person counseling session; telephone calls biweekly for 6 weeks then monthly; one physician endorsement of PA in a primary care clinic visit; monthly automated telephone calls from the primary care provider encouraging PA; and (5) quarterly mailed materials providing personalized feedback.	Usual care from primary, womens or geriatric clinics
Measure Participants	180	122
Mean (Standard Deviation) [minutes per week]	133.6 (136.47)	112.62 (135.45)

Statistical Analysis 1

Statistical Analysis Overview	Comparison Group Selection	Arm 1 Physical Activity Counseling, Arm 2
	Comments
	Type of Statistical Test	Superiority or Other
	Comments
Statistical Test of Hypothesis	p-Value	<0.001
	Comments	Omnibus test of difference between groups over time with adjustment for baseline value of physical activity
	Method	Mixed Models Analysis
	Comments

Adverse Events

Time Frame	At each wave of data collection
Arm/Group Title	Arm 1 Physical Activity Counseling		Arm 2
Arm/Group Description	Physical activity (PA) counseling program with the following components: baseline in-person counseling session; telephone calls, one physician endorsement of PA in a primary care clinic visit, monthly automated telephone calls from the primary care provider encouraging PA; and quarterly mailed materials providing personalized feedback. Physical Activity Counseling: Physical activity (PA) counseling program with the following components: a baseline in-person counseling session; telephone calls biweekly for 6 weeks then monthly; one physician endorsement of PA in a primary care clinic visit; monthly automated telephone calls from the primary care provider encouraging PA; and (5) quarterly mailed materials providing personalized feedback.		Usual care from primary, womens or geriatric clinics
All Cause Mortality
	Arm 1 Physical Activity Counseling		Arm 2
	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events
Total	/ (NaN)		/ (NaN)
Serious Adverse Events
	Arm 1 Physical Activity Counseling		Arm 2
	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events
Total	26/180 (14.4%)		11/122 (9%)
Cardiac disorders
The patient experienced dizziness and radiating shoulder pain	1/180 (0.6%)		0/122 (0%)
Saw PCP - had chest pain	1/180 (0.6%)		0/122 (0%)
Admitted to the VA hospital for chest pain and SOB.	1/180 (0.6%)		0/122 (0%)
Scheduled for a cath at his regional hospital. Kept as an inpatient due to bleeding.	1/180 (0.6%)		0/122 (0%)
Patient had a PCP appt at the VA and presented with bradycardia/A-fib. .	1/180 (0.6%)		0/122 (0%)
Pt was admitted for pharmacological treatment for paroxysmal A-fib.	1/180 (0.6%)		0/122 (0%)
Pt had a planned surgery on his L carotid artery	1/180 (0.6%)		0/122 (0%)
Shortness of breath - diagnosed with a heart attack.	0/180 (0%)		1/122 (0.8%)
The patient was scheduled for a heart catherization.	1/180 (0.6%)		0/122 (0%)
Patient had a cath due to unstable angina, followed by an angioplasty receiving four stents. .	1/180 (0.6%)		0/122 (0%)
Patient experienced a heart attack	1/180 (0.6%)		0/122 (0%)
Pt had an elective AICD implant primarily for prevention	1/180 (0.6%)		0/122 (0%)
General disorders
When the RA checked CPRS for the patient's next schedule stated date of death	0/180 (0%)		1/122 (0.8%)
Pt experienced symptoms of heat stroke admitted for dehydration, palpitations	1/180 (0.6%)		0/122 (0%)
Infections and infestations
Patient has a cough was admitted overnight because of flu virus.	1/180 (0.6%)		0/122 (0%)
Pt had been sick with a cough was hospitalized for Bronchitis (?) & SOB.	0/180 (0%)		1/122 (0.8%)
Patient had a staph infection in his right foot.	0/180 (0%)		1/122 (0.8%)
Injury, poisoning and procedural complications
While blowing leaves in his yard, his feet got tangled & he fell	0/180 (0%)		1/122 (0.8%)
Husband was thrown to the wall behind him breaking his left femur.	1/180 (0.6%)		0/122 (0%)
Complications of an elective surgery. (outside VA)	1/180 (0.6%)		0/122 (0%)
Pt had a MVA. Abrasion on his forehead, neck pain, headache, nausea, and vomiting.	1/180 (0.6%)		0/122 (0%)
Pt had a dizzy spell and fell. No injuries from fall but went to ED for follow-up.	0/180 (0%)		1/122 (0.8%)
Got out of the bed and was walking towards the bathroom and fell out.	0/180 (0%)		1/122 (0.8%)
Metabolism and nutrition disorders
Patient reported a serious gout episode.	0/180 (0%)		1/122 (0.8%)
Musculoskeletal and connective tissue disorders
Phlebitis (started 2 wks ago)--affected left leg	1/180 (0.6%)		0/122 (0%)
He had "a lot of pain in his back and down his left leg."	1/180 (0.6%)		0/122 (0%)
Patient had left knee surgery .	1/180 (0.6%)		0/122 (0%)
Pt was admitted to the VA for left knee infection. He had a left TKA done	1/180 (0.6%)		0/122 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pt was informed 2-3 months ago that he had a brain tumor	1/180 (0.6%)		0/122 (0%)
Nervous system disorders
Developed a TIA The symptoms, (right sided numbness)	1/180 (0.6%)		0/122 (0%)
Renal and urinary disorders
Inability to urinate brought pt to the ER. enlarged prostate (new) caused UTI (abx)	0/180 (0%)		1/122 (0.8%)
Respiratory, thoracic and mediastinal disorders
One-third of patients left lung was removed. He was diagnosed with lung CA.	0/180 (0%)		1/122 (0.8%)
Patient passed away from a recurrence of lung cancer.	1/180 (0.6%)		0/122 (0%)
Pt hospitalized for a recurrence of lung cancer.	1/180 (0.6%)		0/122 (0%)
Via CT scan at regular visit to pulmonologist, discovered blood clot in lung. out of breath.	0/180 (0%)		1/122 (0.8%)
Surgical and medical procedures
Pt had left inguinal surgery	1/180 (0.6%)		0/122 (0%)
Patient had emergency gallbladder surgery	1/180 (0.6%)		0/122 (0%)
Gallbladder surgery	1/180 (0.6%)		0/122 (0%)
Patient had outpatient surgery for bladder cancer	1/180 (0.6%)		0/122 (0%)
Patient had a C-spine fusion surgery. The next day the patient passed away.	1/180 (0.6%)		0/122 (0%)
Other (Not Including Serious) Adverse Events
	Arm 1 Physical Activity Counseling		Arm 2
	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events
Total	158/180 (87.8%)		50/122 (41%)
Cardiac disorders
Underwent procedure in which they stopped his heartbeat to check function and rhythm-	0/180 (0%)		1/122 (0.8%)
Had some chest pressure, 2-3x, while lying in bed.	1/180 (0.6%)		0/122 (0%)
Had chest pressure, while shopping.	1/180 (0.6%)		0/122 (0%)
Changes in blood pressure and pulse yesterday made him call his local MD who changed his medications	1/180 (0.6%)		0/122 (0%)
Had an A-fib episode on Did not see the MD. Comes on once every 2-3 month. OK today.	1/180 (0.6%)		0/122 (0%)
Chest pain while playing with grandkids, saw private cardiologist 5 days later	0/180 (0%)		1/122 (0.8%)
Heart is beginning to beat faster.	1/180 (0.6%)		0/122 (0%)
Has had some discomfort in the chest - - last 3 days (not today)	1/180 (0.6%)		0/122 (0%)
episode of Avib when he woke up in the morning. - Went to ER in Grandville Co	0/180 (0%)		1/122 (0.8%)
Fatigue and SOB during exertion since his MI. Cardiologist to schedule a nuclear ETT	1/180 (0.6%)		0/122 (0%)
Congenital, familial and genetic disorders
Sciatic nerve started acting up.	0/180 (0%)		1/122 (0.8%)
Ear and labyrinth disorders
Pt. had an appt with ENT due to blood drainage from the right ear	1/180 (0.6%)		0/122 (0%)
Pt's left ear started "ringing" four weeks ago and after a week he lost all his energy.	1/180 (0.6%)		0/122 (0%)
More pain in the left ear than usually.	0/180 (0%)		1/122 (0.8%)
Endocrine disorders
spell with severe nausea 10 days ago. Went to his local MD : gallbladder/pancreatitis/hepatitis?	1/180 (0.6%)		0/122 (0%)
Eye disorders
"Eyes are getting weaker because of medicine." Had to get new glasses in April.	0/180 (0%)		1/122 (0.8%)
Getting dizzy more often nowadays and eyes are blurry on/off. Is seeing his Eye MD regularly.	1/180 (0.6%)		0/122 (0%)
About a week ago, had a drain put in his eye to reduce pressure due to glaucoma.	1/180 (0.6%)		0/122 (0%)
Have had vision problems with his left eye for several months. Has seen many eye MDs.	1/180 (0.6%)		0/122 (0%)
Diagnosed with cataract in both eyes.	1/180 (0.6%)		0/122 (0%)
Partial blindness in right eye when woke up . Had surgery for retinal detachment	1/180 (0.6%)		0/122 (0%)
Gastrointestinal disorders
Belly aches.	1/180 (0.6%)		0/122 (0%)
Developed "stomach/chest burning" while deer hunting. Diagnose: dyspepsia. Rx: meds.	1/180 (0.6%)		0/122 (0%)
Flare-up of his ulcer.	1/180 (0.6%)		0/122 (0%)
Pt went to the VA ER for abdominal bloating, GI app.	1/180 (0.6%)		0/122 (0%)
Pt. got chest pain/GI pain after doing heavy labor. Ruled out for MI. Diagnose: gallstones.	1/180 (0.6%)		0/122 (0%)
Has had several gallbladder attacks. Has an appointment with the GI surgeon to discuss surgery.	1/180 (0.6%)		0/122 (0%)
Pt experienced severe stomach cramps and a flare up of his colitis	1/180 (0.6%)		0/122 (0%)
Pt went to the local ER with stomach cramps	1/180 (0.6%)		0/122 (0%)
Stomach pain , (comes and goes due to previous radiation). Did not see a MD.	1/180 (0.6%)		0/122 (0%)
Went to Local MD with stomach pain. Diagnosed with hernia	1/180 (0.6%)		0/122 (0%)
General disorders
Weak a couple of days r/t the weather. "got real hot" laid off of some activities for a couple days	1/180 (0.6%)		0/122 (0%)
Pt. has been dizzy/lightheaded, (comes/goes), for the last 2 weeks	1/180 (0.6%)		0/122 (0%)
Lost his appetite 2-3 weeks ago with subsequent 10-15 lbs of weight loss.	1/180 (0.6%)		0/122 (0%)
Had vertigo only in the AM when stood up.	1/180 (0.6%)		0/122 (0%)
Had an abscessed tooth pulled.	1/180 (0.6%)		0/122 (0%)
Fell yesterday, did not see an MD. Feels lightheaded when standing up	1/180 (0.6%)		0/122 (0%)
Been having some dizziness, on/off, when turning in bed or turning his head when standing.	1/180 (0.6%)		0/122 (0%)
Pt reported to the local ER with a swollen and purple-blue little finger on right hand	1/180 (0.6%)		0/122 (0%)
To the ER decreased energy and SOB with pain to both legs. Released due to no clinical findings.	1/180 (0.6%)		0/122 (0%)
While at VA he got dizzy, fell, was not injured, told he was dehydrated.	1/180 (0.6%)		0/122 (0%)
Felt dizzy and had a presyncopal episode in front of the pharmacy at the VA.	1/180 (0.6%)		0/122 (0%)
Diagnosed with sleep apnea a couple of weeks ago by his local MD. Received a C-pap 3 days ago.	1/180 (0.6%)		0/122 (0%)
Diagnosed with sleep apnea.	1/180 (0.6%)		0/122 (0%)
(Nov 09) at gym, started feeling light headed, sat on bench and slumped over.	0/180 (0%)		1/122 (0.8%)
Pinched nerve in upper right shoulder; had to have some physical therapy for it.	0/180 (0%)		1/122 (0.8%)
Abscessed tooth- pulled about 3 weeks ago. Saw a periodontist.	1/180 (0.6%)		0/122 (0%)
started taking niacin and has since noticed some problems with his memory being "kind of slow".	1/180 (0.6%)		0/122 (0%)
Had a couple of teeth removed	1/180 (0.6%)		0/122 (0%)
Has had some dizziness.	1/180 (0.6%)		0/122 (0%)
The weakness from thyroid medication being stopped by local PCP. It has been restarted again.	1/180 (0.6%)		0/122 (0%)
Developed side effects from a change in medication	1/180 (0.6%)		0/122 (0%)
Pt. has been sick - his whole body is sore and aching.	1/180 (0.6%)		0/122 (0%)
Pt has had a headache flare up for 2-3 weeks	1/180 (0.6%)		0/122 (0%)
Stomach sickness for two weeks. Has had this coming/going for many years. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
Had some "tinkling" in his both hands, on/off, . Saw MD and checked out OK.	1/180 (0.6%)		0/122 (0%)
Had a tooth pulled.	1/180 (0.6%)		0/122 (0%)
Reported to the VA ER for a tick bite.	1/180 (0.6%)		0/122 (0%)
Has experienced side effects from flu/pneumonia shot the last couple of weeks.	1/180 (0.6%)		0/122 (0%)
Been having some dizziness.	1/180 (0.6%)		0/122 (0%)
Pt was tired all the time and had a stress test done No ER Thinks it was related to the CPAP machine	0/180 (0%)		1/122 (0.8%)
Feeling dizzy and was taking home BP. Was given HTN diagnosis. Was prescribed another medication .	0/180 (0%)		1/122 (0.8%)
Broke a tooth this morning. Will go back to the VA dentist	1/180 (0.6%)		0/122 (0%)
"electric shocks" going through his body. Not a new experience, on both sides of body now.	1/180 (0.6%)		0/122 (0%)
Has had migraine and nausea for the last two weeks. Has medication for it.	1/180 (0.6%)		0/122 (0%)
Blister on back of right heel after getting new shoes.	1/180 (0.6%)		0/122 (0%)
Still a lot of chronic pain.	1/180 (0.6%)		0/122 (0%)
Been feeling sick - nauseous.	1/180 (0.6%)		0/122 (0%)
Pt reports when getting up in the morning, head hurts and he is not balanced.	1/180 (0.6%)		0/122 (0%)
More stress at work the last 3-4 weeks - "closing the books" for the year.	1/180 (0.6%)		0/122 (0%)
Immune system disorders
Pts. allergies flared up.	1/180 (0.6%)		0/122 (0%)
Went to ER at the VA for cough - X-rates showed no pneumonia. Treated for allergies	1/180 (0.6%)		0/122 (0%)
Woke up with difficulty breathing - allergies! Saw PCP and received meds. Doing fine now.	1/180 (0.6%)		0/122 (0%)
Had an allergic reaction after eating. Saw dermatologist at the VA again who changed meds.	1/180 (0.6%)		0/122 (0%)
Has a bad cold. Saw his MD, had Chest X-ray done and Rx antibiotics	1/180 (0.6%)		0/122 (0%)
Had shingles about a month ago on right side of upper chest/back area. Saw doc.	0/180 (0%)		1/122 (0.8%)
Allergy reaction last night	0/180 (0%)		1/122 (0.8%)
His allergies have been acting up the last two weeks due to the pollen season.	1/180 (0.6%)		0/122 (0%)
Infections and infestations
Treated for prostatitis.	1/180 (0.6%)		0/122 (0%)
Had the flu. Did not see an MD. Will play in a golf tournament today.	1/180 (0.6%)		0/122 (0%)
Had a bad sinus infection. Fine now.	1/180 (0.6%)		0/122 (0%)
Has had a cold last 10 days.	1/180 (0.6%)		0/122 (0%)
Has had the flu . Has not seen an MD. Feeling better but still coughing.	1/180 (0.6%)		0/122 (0%)
Has had the flu. Has not seen the MD.	1/180 (0.6%)		0/122 (0%)
Pt got sick with the noravirus	1/180 (0.6%)		0/122 (0%)
Got a head cold.	1/180 (0.6%)		0/122 (0%)
Had a stomach virus for one day.	1/180 (0.6%)		0/122 (0%)
Had a stomach sickness for 2-3 days, 3 weeks ago. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
Had a cold for 7-10 days. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
Infection in the right eye	1/180 (0.6%)		0/122 (0%)
Came down with a cold while on a cruise. No exercise so far.	1/180 (0.6%)		0/122 (0%)
Sick with a stomach virus for 2 days.	1/180 (0.6%)		0/122 (0%)
Stomach virus for 2-3 days. Feels OK now.	1/180 (0.6%)		0/122 (0%)
Prescribed antibiotics for UR infection and to call back in 3 weeks.	1/180 (0.6%)		0/122 (0%)
very bad cold, went to ED	1/180 (0.6%)		0/122 (0%)
Had a bad cold for almost a week. No MD visit.	1/180 (0.6%)		0/122 (0%)
Had a cold with fever last week. Got stomach pain/vomited - feels better now.	1/180 (0.6%)		0/122 (0%)
Had a cold for two weeks. No MD visit.	1/180 (0.6%)		0/122 (0%)
Upper respiratory infection. Very SOB. No exercises.	1/180 (0.6%)		0/122 (0%)
Has had a viral infection. Rx from MD.	1/180 (0.6%)		0/122 (0%)
Had walking pneumonia beginning of Oct. 09. Saw doc but was not hospitalized.	1/180 (0.6%)		0/122 (0%)
Has had a bad cold for 2 weeks.	1/180 (0.6%)		0/122 (0%)
Has had a stomach virus for 2 days - the whole family is sick. Has not seen an MD.	1/180 (0.6%)		0/122 (0%)
Developed persistent, dry cough. No chest x-ray ordered. Pt given meds & sent home.	1/180 (0.6%)		0/122 (0%)
Got a cold.	1/180 (0.6%)		0/122 (0%)
Pt states at Christmas he got a cold. SOB in evenings. Saw doc, got script.	0/180 (0%)		1/122 (0.8%)
Has had a head cold. No exercises since then.	1/180 (0.6%)		0/122 (0%)
Very sick with upper respiratory and prostate infection for 2 weeks.	1/180 (0.6%)		0/122 (0%)
Still has the cold that started when he was here	1/180 (0.6%)		0/122 (0%)
Sick with a virus. No exercise.	1/180 (0.6%)		0/122 (0%)
Had the flu the last 2 weeks.	1/180 (0.6%)		0/122 (0%)
Flu virus, bronchitis and pneumonia. Also had fluid in R inner ear.	0/180 (0%)		1/122 (0.8%)
Stomach virus.	1/180 (0.6%)		0/122 (0%)
Has a sinus infection. Taking antibiotics.	1/180 (0.6%)		0/122 (0%)
Stomach virus	1/180 (0.6%)		0/122 (0%)
Has had a cold for 3 weeks. Saw his local MD 10 days ago and received meds.	1/180 (0.6%)		0/122 (0%)
cold	0/180 (0%)		1/122 (0.8%)
Got a bad cold. Did not see an MD. Feeling better now.	1/180 (0.6%)		0/122 (0%)
Has had the flu.	1/180 (0.6%)		0/122 (0%)
Had a bad cold for a week during Christmas.	1/180 (0.6%)		0/122 (0%)
Pt has had the flu for 7-8 days. Saw his local MD - no meds.	1/180 (0.6%)		0/122 (0%)
Had a bad cold 10 days ago. Not seen a MD.	1/180 (0.6%)		0/122 (0%)
Pt has a bad head cold. Has not seen an MD.	1/180 (0.6%)		0/122 (0%)
He had a 48 hr "Rhino" virus last week. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
Pt sick with Pneumonia Saw his local MD. Rx: nothing except rest. Doing fine now.	1/180 (0.6%)		0/122 (0%)
Has a bad cold/flu since.	1/180 (0.6%)		0/122 (0%)
Went to due to a very bad cold with breathing problems. Diagnose: acute sinusitis. Rx: antibiotics.	1/180 (0.6%)		0/122 (0%)
Had a severe cold.	1/180 (0.6%)		0/122 (0%)
Sick for a week with a cold. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
Pt has had a head cold for three weeks. Not seen an MD.	1/180 (0.6%)		0/122 (0%)
Got flu like symptoms. Received meds.	1/180 (0.6%)		0/122 (0%)
Had bilateral conjunctivitis and saw MD. Received meds.	1/180 (0.6%)		0/122 (0%)
Has had a bad sinus infection for 3 weeks. Went to local Urgent Care on and got antibiotics	1/180 (0.6%)		0/122 (0%)
Head cold sinus (running nose and coughing.	1/180 (0.6%)		0/122 (0%)
having problems w/ sore throat and a cough, dx w/ upper respiratory infection.	0/180 (0%)		1/122 (0.8%)
Has had a severe cold for 2 weeks.	1/180 (0.6%)		0/122 (0%)
Got a head cold	1/180 (0.6%)		0/122 (0%)
Sinus infection for 2 days.	1/180 (0.6%)		0/122 (0%)
He had the flu for three weeks.	1/180 (0.6%)		0/122 (0%)
Has had a cold for a few days.	1/180 (0.6%)		0/122 (0%)
Reported to the VA ERfor a rash (tick or spider bite?) on his left upper thigh, nausea	1/180 (0.6%)		0/122 (0%)
Caught a stomach virus. Called the MD for Rx. Feeling better today.	1/180 (0.6%)		0/122 (0%)
Got bit by a spider about 3 weeks ago and had to be put on antibiotics by his doctor.	1/180 (0.6%)		0/122 (0%)
Has had a cold.	1/180 (0.6%)		0/122 (0%)
sinus and hay fever have worsened;	0/180 (0%)		1/122 (0.8%)
His chronic bronchitis flared up last week. Saw his local PCP and got antibiotics.	1/180 (0.6%)		0/122 (0%)
Sore throat and sinus infection for a week. Saw PCP. Rx: antibiotics.	1/180 (0.6%)		0/122 (0%)
Has had bronchitis. Saw his local PCP today.	1/180 (0.6%)		0/122 (0%)
Got bronchitis. Will see his local MD tomorrow.	1/180 (0.6%)		0/122 (0%)
Has had the flu. Has not seen an MD.	1/180 (0.6%)		0/122 (0%)
Got a stomach virus - feeling better now. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
Has had a sinus infection for at week and a half in Nov/Dec.	1/180 (0.6%)		0/122 (0%)
Sinus /bronchitis infection . Saw MD - received medications.	1/180 (0.6%)		0/122 (0%)
Had a bad head-cold for 2 weeks. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
Pt got bronchitis two weeks ago. Rx: antibiotics.	1/180 (0.6%)		0/122 (0%)
Pt got a virus with fever and joint ache, lasting for three days. No MD visit.	1/180 (0.6%)		0/122 (0%)
Had a cold for 3 weeks.	1/180 (0.6%)		0/122 (0%)
Has had a cold for a week. Has not seen MD.	1/180 (0.6%)		0/122 (0%)
Has had a bad cold for 3 weeks starting. Received antibiotics over the phone from the VA .	1/180 (0.6%)		0/122 (0%)
Had really bad cold that lasted a long time. Saw doc but not hospitalized.	1/180 (0.6%)		0/122 (0%)
Bad recurring cold. Saw his PCP and got antibiotics.	1/180 (0.6%)		0/122 (0%)
Sick for 10 days with URI coughing blood.	1/180 (0.6%)		0/122 (0%)
Had stomach flu for three days twice the last weeks. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
Stomach flu.	1/180 (0.6%)		0/122 (0%)
Got dust in his eye hanging sheet rock, Conjunctivitis. Rx: gentamicin eye ointment.	1/180 (0.6%)		0/122 (0%)
Sinus infection after going on CPAP machine.	1/180 (0.6%)		0/122 (0%)
Got a sinus infection and went to the urgent care in Asheboro. Feels OK now.	1/180 (0.6%)		0/122 (0%)
Has had a bad sinus infection for 10 days. Not been able to use his CPAP - feeling very tired.	1/180 (0.6%)		0/122 (0%)
Sick with a cold and sinus infection. Went to local urgent care and received antibiotics.	1/180 (0.6%)		0/122 (0%)
Pt reported to the VA ER for return of cough. Rx: Augmentin.	1/180 (0.6%)		0/122 (0%)
Has had cold for a week. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
Has had a cold since he got the flu shot 10 days ago.	1/180 (0.6%)		0/122 (0%)
Pt bitten by a tick. Symptoms: nausea and sweats. Made an app with VA PCP. Rx: antibiotics.	1/180 (0.6%)		0/122 (0%)
Has had a head cold since last week. Has not seen MD.	1/180 (0.6%)		0/122 (0%)
Got a bad cold last week. Has not seen an MD. Feeling better now.	1/180 (0.6%)		0/122 (0%)
Had the flu/head cold for a few days 3 weeks ago. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
Stomach virus for 24 hrs.	1/180 (0.6%)		0/122 (0%)
Has had the flu for 2 weeks. Has not seen an MD.	1/180 (0.6%)		0/122 (0%)
Sick with the flu for more than a week.	1/180 (0.6%)		0/122 (0%)
severe cough and left side chest pain/soreness. Diagnosed with bronchitis - Rx medications.	1/180 (0.6%)		0/122 (0%)
Had the flu/strep throat.	1/180 (0.6%)		0/122 (0%)
Has had a touch of flu.	1/180 (0.6%)		0/122 (0%)
2 wks ago "sick for 3 weeks" "1 week in bed" "something that was going around", "no fever"	0/180 (0%)		1/122 (0.8%)
Got a very bad cold - lasted for a few days.	1/180 (0.6%)		0/122 (0%)
Touch of flu.	1/180 (0.6%)		0/122 (0%)
Pt went to the VA ER on for his sore throat. Diagnose: mild pharyngitis.	1/180 (0.6%)		0/122 (0%)
Had stomach virus for a week a couple of weeks. Did not see an MD. Doing fine now.	1/180 (0.6%)		0/122 (0%)
Injury, poisoning and procedural complications
2-3 weeks ago was at commode. Got weak and fell over into basin. Bruise at naval.	1/180 (0.6%)		0/122 (0%)
Was cleaning out the garden, stepped on a brick and his leg slipped causing a fall.	0/180 (0%)		1/122 (0.8%)
Walking on dune at beach, the sand shifted and he fell on left side and shoulder.	0/180 (0%)		1/122 (0.8%)
Fell on the kitchen floor and hit knee due to the "intestinal flu"	0/180 (0%)		1/122 (0.8%)
Was empting grass container and pulled a muscle in back.	0/180 (0%)		1/122 (0.8%)
Fell and thrust right hand/little finger into door jamb, almost pulling finger off hand	0/180 (0%)		1/122 (0.8%)
Injured the left knee during the water aerobic class	1/180 (0.6%)		0/122 (0%)
rearranging furniture and went by the side table lamp and bumped my left leg	1/180 (0.6%)		0/122 (0%)
Pt fell while carrying gardening tools in her yard. Landed on her left side and hurt her left knee.	1/180 (0.6%)		0/122 (0%)
stood up too fast, didn't have anything to hold onto, lost balance and fell. No injured.	0/180 (0%)		1/122 (0.8%)
Got out of bed too quickly, got dizzy, and fell on the floor--"was lucky didn't hurt anything".	0/180 (0%)		1/122 (0.8%)
Stepped over shoe string and fell over.	0/180 (0%)		1/122 (0.8%)
Leaving a restaurant , caught foot on the curb, and fell landing on hands and knee-- abrasions.	0/180 (0%)		1/122 (0.8%)
Going into the bathroom door and slipped on something that was lying on the floor	1/180 (0.6%)		0/122 (0%)
Caught foot on 3 steps off a deck, and rolled his ankle--landed on hip and shoulder	0/180 (0%)		1/122 (0.8%)
Fell 4-5 days ago when he slipped on rug at home. A little hurt on left side.	1/180 (0.6%)		0/122 (0%)
Slid out of bed. A little sore in the thighs. Used crutches /cane for 2 days.	1/180 (0.6%)		0/122 (0%)
Fell on his butt when he tripped on the rug inside the door. Caught himself on his right wrist	1/180 (0.6%)		0/122 (0%)
Fell/slipped on water in the grocery store and hurt right hip and arm. had X-rays done on hip	1/180 (0.6%)		0/122 (0%)
Twisted her right knee on when she grabbed the storm and landed on the step.	1/180 (0.6%)		0/122 (0%)
While repairing a fence, got dizzy and just fell. Not injured.	1/180 (0.6%)		0/122 (0%)
Walking out in yard, turned, got dizzy, and fell. Not injured.	1/180 (0.6%)		0/122 (0%)
Fell on the backdoor steps (ice). Bruises "all over" but otherwise OK.	1/180 (0.6%)		0/122 (0%)
Slipped on pine straw- no injury- got back up and finished playing golf. 8 mos ago	0/180 (0%)		1/122 (0.8%)
Fell in the post office parking lot when his left knee gave out stepping off the curb	1/180 (0.6%)		0/122 (0%)
Injured the right side of his rib cage while lifting something heavy at work.	1/180 (0.6%)		0/122 (0%)
Was at the beach and was walking back to the hotel. Stepped on thick sand lost my balance and fell	1/180 (0.6%)		0/122 (0%)
Fell 4 ft off a ladder while trimming a tree. A little sore but OK.	1/180 (0.6%)		0/122 (0%)
While cutting a limb off a tree, he fell from a ladder. (3M ago)	1/180 (0.6%)		0/122 (0%)
Was outside walking. Stepped down and fell over to the left side due to the ground being unleveled	0/180 (0%)		1/122 (0.8%)
Fell while biking, landed on his right hand. Went to VA ER. X-ray = 5th metacarpal fracture.	1/180 (0.6%)		0/122 (0%)
Turned his riding lawn mower over and ended up underneath. Sore all over but OK.	1/180 (0.6%)		0/122 (0%)
Hurt his left knee 2 weeks ago while helping his sister to move. No trauma. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
Fell while carrying hay off a tractor and twisted his R ankle. Did not see MD.	1/180 (0.6%)		0/122 (0%)
Fell off a tractor, (missed a step), 8 weeks ago and hurt/twisted his right knee. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
Was climbing a ladder, sliiped and tore rotator cuff in left shoulder.	0/180 (0%)		1/122 (0.8%)
Was driving a steel post and the axe hit the top of his right hand and peeled the skin off	1/180 (0.6%)		0/122 (0%)
Fell off bike while riding 17 miles . Hurt his left side. Saw MD - no treatment	1/180 (0.6%)		0/122 (0%)
Twisted her left knee in the garden. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
Load mower off my trailer, while getting off the mower my foot got stuck on mower and fell	1/180 (0.6%)		0/122 (0%)
Returned home from Rehab center Fell two times while walking with the cane instead of the walker.	1/180 (0.6%)		0/122 (0%)
Spilled coffee in his lap while driving and got a second degree burn.	1/180 (0.6%)		0/122 (0%)
Spilled coffee in his lap and got a second degree burn. Now he has seen an MD twice	1/180 (0.6%)		0/122 (0%)
Had a couple of falls after going home from rehab while trying to get used to using his cane.	1/180 (0.6%)		0/122 (0%)
Slipped outdoors on wet pine bark and twisted the back. Pain in lower back since then	1/180 (0.6%)		0/122 (0%)
Going out my back door and slipped on the steps, hit my right elbow and elbow swelled up.	1/180 (0.6%)		0/122 (0%)
He slipped and hit R elbow on the rail in Feb. 09, "during the last snow fall"	1/180 (0.6%)		0/122 (0%)
Was rear-ended. Drove himself to the ER (not VA). Was pronounced OK.	1/180 (0.6%)		0/122 (0%)
Was stepping off my deck and my dog jumped down on the step I was going to. I fell	1/180 (0.6%)		0/122 (0%)
Severe headaches and back pain since the traffic accident	1/180 (0.6%)		0/122 (0%)
Fell on ice and hit back of head	0/180 (0%)		1/122 (0.8%)
Was going outside to get dog food and tripped over the end of the weed eater.	0/180 (0%)		1/122 (0.8%)
he fell on hand when trying to catch himself. Hurt R thumb. Did see a doctor.	1/180 (0.6%)		0/122 (0%)
Pulled a muscle in his right thigh/hip two days ago while adjusting a rug at home.	1/180 (0.6%)		0/122 (0%)
When answering phone, tripped over feet. Fell to the floor but wasn't injured.	0/180 (0%)		1/122 (0.8%)
Fell at work 3 weeks ago. Hurt right hand and wrist. Saw a local MD x 2. Received a splint.	1/180 (0.6%)		0/122 (0%)
While exercising, tripped jumping up some stairs and injured his pinky finger. There is no break	1/180 (0.6%)		0/122 (0%)
Raking leaves and strained my back.	1/180 (0.6%)		0/122 (0%)
Fell down the steps at church. Injured hand and leg a little bit, but did not break anything.	1/180 (0.6%)		0/122 (0%)
Pt. fell on the grass 10 days ago while in the yard. Jammed his finger getting up. Is fine.	1/180 (0.6%)		0/122 (0%)
Went to the ER at the VA for LBP flare which might have been triggered by moving some boxes	1/180 (0.6%)		0/122 (0%)
Pt has had left knee pain the last 2 weeks thinks it came from pushing hard on the clutch	1/180 (0.6%)		0/122 (0%)
Fell in a restaurant parking lot and hurt his right wrist. Did not see an MD	1/180 (0.6%)		0/122 (0%)
stepped off curb wrong and fell onto car, got 4 stitches in nose, and 2 compression fractures	0/180 (0%)		1/122 (0.8%)
Tripped and fell over a block in the dark on the farm	1/180 (0.6%)		0/122 (0%)
"Pulled" his right shoulder three weeks ago while lifting/pulling a heavy bag at the airport	1/180 (0.6%)		0/122 (0%)
On the escalator in the airport luggage got stuck and slipped at the bottom and cut right thumb.	1/180 (0.6%)		0/122 (0%)
Twisted his right knee when leaving the VA after an app. Discussed icing.	1/180 (0.6%)		0/122 (0%)
Putting gas into my car and trip over the gas hose and fell on my knees	0/180 (0%)		1/122 (0.8%)
Fell . Was working in his yard and stepped in a stump hole. He twisted left knee and fell	1/180 (0.6%)		0/122 (0%)
Fell in a trench he couldn't see, and hurt his upper lip.	1/180 (0.6%)		0/122 (0%)
PT fell Hit the chair with his 4th toe on the L foot. : possible break Received a soft shoe.	1/180 (0.6%)		0/122 (0%)
Fell and hit his head on the pavement while playing basketball with his grandchild	1/180 (0.6%)		0/122 (0%)
Tripped and fell Hit his right knee - just a bruise - has not seen the MD.	1/180 (0.6%)		0/122 (0%)
pt "tripped and fell at the house". Pt states he tripped on pre-existing carpet at home.	1/180 (0.6%)		0/122 (0%)
chair rolled from under me and I hit the concrete floor in my garage. I jarred my left hip.	1/180 (0.6%)		0/122 (0%)
loading truck with plywood the plank slipped out of my hand and fell on my L big toe	1/180 (0.6%)		0/122 (0%)
Was in a car accident - hit by a car - Went to the local hospital and checked out OK.	1/180 (0.6%)		0/122 (0%)
was going down wooden steps which was wet from the rain and I slipped and fell	1/180 (0.6%)		0/122 (0%)
Was doing my walking exercise and stepped in a pothole and tripped which tweaked my right knee.	1/180 (0.6%)		0/122 (0%)
Pt hurt his right knee 10-14 days ago by twisting the knee when stepping in a hole	1/180 (0.6%)		0/122 (0%)
Twisted his left ankle and the left knee when walking down the front steps of his house	1/180 (0.6%)		0/122 (0%)
Working in his yard (his roses) and he fell--doesn't know why or how he fell.	0/180 (0%)		1/122 (0.8%)
Pt had an accident at work where he broke and cut the ring finger on his right hand	1/180 (0.6%)		0/122 (0%)
Moving some electrical wire rears, cut my right hand ring finger half way off. ER sewed it back on.	1/180 (0.6%)		0/122 (0%)
Pulled my right groin by lifting some wire at work.	1/180 (0.6%)		0/122 (0%)
Pt. got hit in the forehead in the GYM by an exercise machine that was let go too quickly	1/180 (0.6%)		0/122 (0%)
Injured tubing down the Virgin River. Shoulder, neck, knees feet, bottom was bruised.	1/180 (0.6%)		0/122 (0%)
Fell out of bed after a dream. Bruised his right knee. Did not see an MD for it	1/180 (0.6%)		0/122 (0%)
Pain in left shoulder last 3 weeks from working overhead - no trauma	1/180 (0.6%)		0/122 (0%)
Pt tripped over her dog and fell. Hurt her left side of chest - very painful. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
Pt fell on her sacrum on a grassy slope, while opening the door on her car.	1/180 (0.6%)		0/122 (0%)
Pt had a bad fall when stepping over a small gate	1/180 (0.6%)		0/122 (0%)
stepped over a gate and and I fell over on my left knee, right hand and left side of my head.	1/180 (0.6%)		0/122 (0%)
Stepped off a curb and hurt his back. Saw MD - Rx rest for a week.	1/180 (0.6%)		0/122 (0%)
Missed the last step walking down the stairs in his house and fell on his right side.	1/180 (0.6%)		0/122 (0%)
Bumped his head and got an OA flare in his LB and right hip	1/180 (0.6%)		0/122 (0%)
He hurt his LB while pulling out the trash cart.	1/180 (0.6%)		0/122 (0%)
Pt fell 5 feet down in the chicken house 3 weeks ago. Hurt his right knee. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
fell forward and hit my left eyebrow on my hard wood floor and got a one inch cut	1/180 (0.6%)		0/122 (0%)
fell down 3 steps and landed on my bottom. Bruised hip and the back side of my thigh.	1/180 (0.6%)		0/122 (0%)
Was outside when stepping up on brick steps missed a step and fell down landing on my back	1/180 (0.6%)		0/122 (0%)
Tripped and hit his ribcage on a fence . Pain on right side. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
Burned his left hand while pressure washing a week ago. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
Fell inside a closet at home . Injured his left shoulder.	1/180 (0.6%)		0/122 (0%)
Fell trying to show grandson how to ride scooter--hit handlebars and bruised his ribs	1/180 (0.6%)		0/122 (0%)
Took a tumble in bedroom and injured left shoulder--did see MD for this.	1/180 (0.6%)		0/122 (0%)
Walked into a trailer hitch- early April. Really bruised up his leg. Not exercising at time.	0/180 (0%)		1/122 (0.8%)
Pulled quad muscle a couple of months ago while doing chores.	1/180 (0.6%)		0/122 (0%)
Pt fell when working on a bridge and hurt his right hip a little. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
Pt called and said he fell off an 8 ft ladder on and broke his left heel bone.	1/180 (0.6%)		0/122 (0%)
tripped over the back ramp of truck. Fell forward of both hands and bruised them.	0/180 (0%)		1/122 (0.8%)
He has had LBP for the last four weeks after twisting the back while lifting a heavy object at work	1/180 (0.6%)		0/122 (0%)
Injured his back--. The LBP was caused by a lift/twist movement.	1/180 (0.6%)		0/122 (0%)
Stepped on a nail. No med record for Doc visit at VA	1/180 (0.6%)		0/122 (0%)
Strained my back/ Was outside putting corn out for the deers and pulled my back.	1/180 (0.6%)		0/122 (0%)
Yesterday, banged toe really badly against a piece of furniture. Thinks he may have broken it.	1/180 (0.6%)		0/122 (0%)
Stepped on hot coals with his right foot while grilling outdoors.	1/180 (0.6%)		0/122 (0%)
Pt hurt his back while changing the battery in his tractor 10 days ago. went to the chiropractor.	1/180 (0.6%)		0/122 (0%)
right foot slipped on wet grass and I fell down. The next day my back, hip and right leg was sore.	0/180 (0%)		1/122 (0.8%)
Was tried to cut meat off a bone and cut left knuckle. Left hand swollen.	0/180 (0%)		1/122 (0.8%)
Went to sit down on a stool in the garden and as it sunk into the dirt, he fell to the ground.	1/180 (0.6%)		0/122 (0%)
Due to snow on step, slipped and fell. Other than a scrape on the hand, not injured.	1/180 (0.6%)		0/122 (0%)
Was working in the tobacco field pulled a ligament in my right foot under the ankle.	1/180 (0.6%)		0/122 (0%)
Got LBP while twisting when lifting a box. Went to local ER - drop in clinic	1/180 (0.6%)		0/122 (0%)
Pulled a muscle in his right leg two weeks ago when walking around in his house.	1/180 (0.6%)		0/122 (0%)
walking down the stairs at home fell 14 steps. Hurt his neck and R arm.	1/180 (0.6%)		0/122 (0%)
Fell through the ceiling while in the attic. Hurt his right leg - did not see MD.	1/180 (0.6%)		0/122 (0%)
Stubbed his R foot on a table one week ago, bruised his little toe. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
Metabolism and nutrition disorders
Feels sick today due to stopped using ETOH	1/180 (0.6%)		0/122 (0%)
weight gain r/t medicine. He has been on this medicine for years, take this medicine when I get sick	1/180 (0.6%)		0/122 (0%)
Last month started taking Thyroid medication.	1/180 (0.6%)		0/122 (0%)
Saw his PCP at the VA and was declared having Diabetes II and received metformin.	1/180 (0.6%)		0/122 (0%)
Primary Care Doc says he is now "Diabetic"; his highest A1c was 6.8, it is now back down to 6.7.	1/180 (0.6%)		0/122 (0%)
Diagnosed with diabetes.	1/180 (0.6%)		0/122 (0%)
Diagnosed with diabetes in November.	0/180 (0%)		1/122 (0.8%)
Pt was diagnosed with Diabetes 3 weeks ago.	1/180 (0.6%)		0/122 (0%)
Musculoskeletal and connective tissue disorders
More pain in LB and knees the last weeks (Spinal stenosis, s/p surgery x 3, OA).	1/180 (0.6%)		0/122 (0%)
His LBP flared up when trying to change tires on his trailer.	1/180 (0.6%)		0/122 (0%)
L ankle swelling with pain for about 3 weeks. Swelling has decreased Scheduled to see PCP next month	1/180 (0.6%)		0/122 (0%)
Hurt his back on the golf course.	1/180 (0.6%)		0/122 (0%)
Had an MRI done for left knee. Is waiting for a second opinion app. with ortho at the VA.	1/180 (0.6%)		0/122 (0%)
L knee started hurting and swelling after water aerobics yesterday.	1/180 (0.6%)		0/122 (0%)
Woke up w/ pain in L hip on Had it for 8 days, mostly in the morning	1/180 (0.6%)		0/122 (0%)
His lower back has been acting up the last two weeks. He has seen his "Back" MD and been in rehab	1/180 (0.6%)		0/122 (0%)
Pt had outpatient carpal tunnel surgery on left hand at the VA.	1/180 (0.6%)		0/122 (0%)
Had to have an epidural "pain block" for his LB pain.	1/180 (0.6%)		0/122 (0%)
Got a crick in my neck.	0/180 (0%)		1/122 (0.8%)
Presented to the VA ER for left sided chest pain/ arm/leg pain radicular from his spinal stenosis.	1/180 (0.6%)		0/122 (0%)
developed back problem--low back pain (given meds in ER)--chronic problem that flared up	1/180 (0.6%)		0/122 (0%)
More back pain the last 2 weeks. Has not seen an MD. Will see his MD this week.	1/180 (0.6%)		0/122 (0%)
Had a "pull" on his left hip . He thinks it was his arthritis acting up	1/180 (0.6%)		0/122 (0%)
His Crohn's disease and LB pain was acting up. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
Pt came to ER @ DVAMC 2 mths ago for rib pain.	1/180 (0.6%)		0/122 (0%)
Several months ago, "knees gave out from under" him while going up steps. Not injured.	0/180 (0%)		1/122 (0.8%)
Rock bruised bottom of right foot while camping. Not sure what happened.	1/180 (0.6%)		0/122 (0%)
Both feet swollen since two weeks ago. Saw MD at the VA	1/180 (0.6%)		0/122 (0%)
Left leg stays numb all the time and feels like "walking on rubber" - is getting worse.	1/180 (0.6%)		0/122 (0%)
Left leg is "giving out" more nowadays.	1/180 (0.6%)		0/122 (0%)
Right knee OA flared up for 5 days. Got meds - doing OK now.	1/180 (0.6%)		0/122 (0%)
Lower back pain	1/180 (0.6%)		0/122 (0%)
had back spasms	1/180 (0.6%)		0/122 (0%)
Pain in left leg/foot from DJD in LB (10 year problem).	1/180 (0.6%)		0/122 (0%)
The hernia is still very bothersome. He is waiting for surgery.	1/180 (0.6%)		0/122 (0%)
Pain in right knee - not exercise related	1/180 (0.6%)		0/122 (0%)
Arthritis in right knee has been more painful in the last 3 months. Saw doc but not hospitalized.	0/180 (0%)		1/122 (0.8%)
Knee pain has gotten worst. No activity started it, just chronic pain. Did not see doc.	1/180 (0.6%)		0/122 (0%)
Patient continues to have a lot of pain in both knees and in R foot.	1/180 (0.6%)		0/122 (0%)
OA in both knees has been flaring up.	1/180 (0.6%)		0/122 (0%)
Increased back pain.	1/180 (0.6%)		0/122 (0%)
His LBP has been acting up the last four weeks. This time on the right side. Discussed with his PCP	1/180 (0.6%)		0/122 (0%)
His back pain has been acting up the last 3 weeks.	1/180 (0.6%)		0/122 (0%)
The osteoarthritis and wear on his knee has been getting gradually, but significantly worse	0/180 (0%)		1/122 (0.8%)
Still hurts "all over" (the body), more so past month, especially knees and hips.	1/180 (0.6%)		0/122 (0%)
Got a cramp in both calves while doing toe raises. Just one episode.	1/180 (0.6%)		0/122 (0%)
Experiencing more pain in the left hip now.	1/180 (0.6%)		0/122 (0%)
Pain in legs is worse.	1/180 (0.6%)		0/122 (0%)
On 8/9 he had out pt procedure to remove scar tissue in knee that built up after his knee surgery	0/180 (0%)		1/122 (0.8%)
The severe muscle pain in the legs and arms/shoulders lasted until 3-4 days ago. Did not see the MD.	1/180 (0.6%)		0/122 (0%)
hip isn't doing as well" clarified as "arthritis", "can't walk as well, hurts worse"	1/180 (0.6%)		0/122 (0%)
Pain, in thigh muscles and behind the knees, (R worse), since 2 weeks.	1/180 (0.6%)		0/122 (0%)
More pain in joints and muscles since last call. Has not seen his MD yet	1/180 (0.6%)		0/122 (0%)
Feels he is getting weaker - more OA pain in legs.	1/180 (0.6%)		0/122 (0%)
Degenerative arthritis. Has "deteriorate d gradually over the last couple of years".	1/180 (0.6%)		0/122 (0%)
Aggravated an old back injury- lifting building materials at work.	1/180 (0.6%)		0/122 (0%)
Back pain for a month after bending over at work - construction work. to a chiropractor.	1/180 (0.6%)		0/122 (0%)
Fosamax medication flared up arthritis.	0/180 (0%)		1/122 (0.8%)
Pt has had left hip pain since the last week - says it might be his OA.	1/180 (0.6%)		0/122 (0%)
Legs got weaker and I stagger more.	1/180 (0.6%)		0/122 (0%)
Gout came back for a week. Got more medication. Feels better.	1/180 (0.6%)		0/122 (0%)
Gout in big toe on R foot . Saw PCP & got meds.	1/180 (0.6%)		0/122 (0%)
The pain in his LB has gradually moved up the spine. He has a PCP app at the VA	1/180 (0.6%)		0/122 (0%)
His LB pain has been acting up during the last month. Will see his PCP	1/180 (0.6%)		0/122 (0%)
Pt has had more soreness in his LB the last month. He had LB surgery in 2006.	1/180 (0.6%)		0/122 (0%)
I was working on a tractor and bent over and picked up a front axle from the tractor	1/180 (0.6%)		0/122 (0%)
An incident of suspected gout in his foot kept him off his feet for about a week.	0/180 (0%)		1/122 (0.8%)
Developed left hip pain 3 weeks ago, no trauma (thinks it is OA), lasted 2 1/2 weeks.	1/180 (0.6%)		0/122 (0%)
More pain in right knee and a painful corn on left foot (hard to walk).	1/180 (0.6%)		0/122 (0%)
Saw his PCP . X-ray on left heel and consult for cortisone injection	1/180 (0.6%)		0/122 (0%)
Gradually having increased pain LB and R hip pain, pt is s/p Back surgery.	0/180 (0%)		1/122 (0.8%)
leg cramps at night, pt reports this started couple weeks ago	0/180 (0%)		1/122 (0.8%)
edema in R ankle started 2 wks ago and subsided	0/180 (0%)		1/122 (0.8%)
injection for pain in shoulder	0/180 (0%)		1/122 (0.8%)
Pt has had more pain in his left ankle and knee. Has had this problem for months	1/180 (0.6%)		0/122 (0%)
Pt got pain in left foot about 2 weeks ago. No trauma	1/180 (0.6%)		0/122 (0%)
Has developed significant left knee pain. Exercise makes it worse. Arthritis has been confirmed	1/180 (0.6%)		0/122 (0%)
Left knee has been bothering her more since doing a lot of squatting during gardening this summer	1/180 (0.6%)		0/122 (0%)
The left knee pain has gotten worse. She went to the VA ER. Rx: medication, ice/rest	1/180 (0.6%)		0/122 (0%)
for last 2 weeks has been hurting from ankle to knee on L leg--like kicked in shins	1/180 (0.6%)		0/122 (0%)
Pt. had a steroid injection in the spine. MD Rx= no physical activity for a week.	1/180 (0.6%)		0/122 (0%)
Felt nauseated /exhausted after a work-out. started having left hip pain.	1/180 (0.6%)		0/122 (0%)
Feels that his "weak spells" are coming on more often nowadays.	1/180 (0.6%)		0/122 (0%)
Gout pain . First in left, then in right ankle.	1/180 (0.6%)		0/122 (0%)
Bilateral hip pain/numbness the last 2 weeks when walking/standing. From the MVA?	1/180 (0.6%)		0/122 (0%)
More bilateral hip pain since driving long distances	1/180 (0.6%)		0/122 (0%)
Pain in both hips has been worse. Very hard time to sleep.	1/180 (0.6%)		0/122 (0%)
Hips are still bothering him.	1/180 (0.6%)		0/122 (0%)
L hip has started hurting.	1/180 (0.6%)		0/122 (0%)
Ache in R arm for two weeks. Sounds like a nerve pain. Has not seen his MD for it.	1/180 (0.6%)		0/122 (0%)
Both feet swollen up to the ankles, L more than the right. Better now	1/180 (0.6%)		0/122 (0%)
Tingling down right arm, just above elbow. Comes and goes.	1/180 (0.6%)		0/122 (0%)
When I bend over a little bit I feel pain in my lower back	0/180 (0%)		1/122 (0.8%)
Stiffness in right shoulder on/off for the last six month due to lifting heavy bags at work.	1/180 (0.6%)		0/122 (0%)
Has had some discomfort in his left hip and knee for a while - comes and goes.	1/180 (0.6%)		0/122 (0%)
Mid April- at gym pulled tendon in shoulder/rotator cuff.	1/180 (0.6%)		0/122 (0%)
Pain from right sciatic nerve . The diagnosis: Spinal stenosis.	1/180 (0.6%)		0/122 (0%)
gradually had more weakness on right side from waist down, has chronic LBP on/off.	1/180 (0.6%)		0/122 (0%)
For the last 4-5 weeks, his right hip has been bothering him when walking.	1/180 (0.6%)		0/122 (0%)
Pt. has chronic LBP on/off.	1/180 (0.6%)		0/122 (0%)
Has had LBP the last 2-3 weeks. Has had it before but not as painful as now	1/180 (0.6%)		0/122 (0%)
Woke up with LBP. Has had before.	1/180 (0.6%)		0/122 (0%)
hip is bothering her. Beginning about 1 1/2 months ago. Sometimes quite painful.	0/180 (0%)		1/122 (0.8%)
Pt passed out and hurt his left big toe. Diagnose: Gout? Rx: Scheduled for an Echo, ETT	1/180 (0.6%)		0/122 (0%)
Had some LBP after raking leaves and fatigue feeling like having a cold.	1/180 (0.6%)		0/122 (0%)
Had gout out brake for 5-6 hrs.	1/180 (0.6%)		0/122 (0%)
Still has severe back and neck pain. Orthopedic MD has done MRI's - shows "bone on bone".	1/180 (0.6%)		0/122 (0%)
His back pain has been acting up and getting gradually worse the last 3 weeks.	1/180 (0.6%)		0/122 (0%)
Still has LBP with some numbness in legs.	1/180 (0.6%)		0/122 (0%)
OA pain in right knee.	1/180 (0.6%)		0/122 (0%)
Back condition (not new) but nervous condition in stomach. MD letter stating r/t back and spine.	1/180 (0.6%)		0/122 (0%)
Has been getting cramps in lower legs the last two months. The cramps lasts for several, (2-4) days	1/180 (0.6%)		0/122 (0%)
Two weeks ago his head was hyper-extended for a prolonged time which caused severe dizziness	1/180 (0.6%)		0/122 (0%)
Pt woke up with acute left lower back pain radiating down the left leg. Went to the VA ER	1/180 (0.6%)		0/122 (0%)
More pain in both shoulders and LB the last 2-3 weeks - this comes and goes. Has not seen an MD.	1/180 (0.6%)		0/122 (0%)
Developed pain in the three small toes on the left foot a week ago. No injury.	1/180 (0.6%)		0/122 (0%)
Bad headaches and more LBP during the last few weeks	1/180 (0.6%)		0/122 (0%)
Feet are worse (pain in bones) no cause.	1/180 (0.6%)		0/122 (0%)
Got cortisone shot from his local orthopedic for his right knee about two weeks ago	1/180 (0.6%)		0/122 (0%)
Right knee swollen and painful since. Saw his local MD . Had X-rays.	1/180 (0.6%)		0/122 (0%)
Right ankle has been bothering him on and off for a couple of weeks. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
R elbow pain. "Hurts at the joint" it's getting worse when he moves it.	1/180 (0.6%)		0/122 (0%)
Both heels have been given me pain.	0/180 (0%)		1/122 (0.8%)
His OA in left knee has been acting up due to squatting in the garden the last many weeks.	1/180 (0.6%)		0/122 (0%)
Bottom "butt" was sore due to strengthening exercise from Enhanced Fitness counselor.	1/180 (0.6%)		0/122 (0%)
Pt has had severe LBP for the last 3 weeks. (MVA	1/180 (0.6%)		0/122 (0%)
Pt has had numbness and pain on his right side, from the waist all the way down to the knee	1/180 (0.6%)		0/122 (0%)
Pt has had gout the last five days. He has it now and then and has medication for it	1/180 (0.6%)		0/122 (0%)
Pain in the joints of my thumbs.	0/180 (0%)		1/122 (0.8%)
Pt tore his right rotator cuff again one month ago and is schedule for repeat surgery	1/180 (0.6%)		0/122 (0%)
OA pain in both knees the last 3 weeks - does flare up during cold weather. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
Hurt his right shoulder using too much weight on an upper body weight machine a month ago.	1/180 (0.6%)		0/122 (0%)
Left knee pain Did a lot of yard work	1/180 (0.6%)		0/122 (0%)
LBP. Has had it on/off for two years.	1/180 (0.6%)		0/122 (0%)
Pt scheduled to have right TKA at Duke a.s.a.p. Is not allowed any walking for exercise	1/180 (0.6%)		0/122 (0%)
Developed stingers in both feet.	1/180 (0.6%)		0/122 (0%)
Received results from an MRI done (before enrolling in study). Two bulging discs (L3-L5).	1/180 (0.6%)		0/122 (0%)
Injured left knee doing leg press at fitness club where he lives	1/180 (0.6%)		0/122 (0%)
Arthritis in neck shoulders and hip are getting worse.	0/180 (0%)		1/122 (0.8%)
Pt heard a loud pop in his right knee when walking up a step in barn. climbing stairs is painful.	1/180 (0.6%)		0/122 (0%)
Pain in left hip/leg . Saw his PCP.	1/180 (0.6%)		0/122 (0%)
He has had pain in right hip/groin. No trauma	1/180 (0.6%)		0/122 (0%)
More pain from his arthritis the last weeks, partly due to the weather.	1/180 (0.6%)		0/122 (0%)
His left foot/ankle pain flared up 2 days ago	1/180 (0.6%)		0/122 (0%)
His back is giving him a problem 09. This has happened before but not to this extent	1/180 (0.6%)		0/122 (0%)
Had a back spasm. Went to Dr. and got physical therapy.	1/180 (0.6%)		0/122 (0%)
Received cortisone injections for pain in both shoulders, both knees and LB 10 days ago	1/180 (0.6%)		0/122 (0%)
His right knee (OA), has been painful the last weeks too - no Treadmill walking.	1/180 (0.6%)		0/122 (0%)
His OA acted up 2 weeks ago due to working out in the cold. Received injections	1/180 (0.6%)		0/122 (0%)
Right knee a little swollen. Happens now and then.	1/180 (0.6%)		0/122 (0%)
severe pain in lower back which has increased since last visit	1/180 (0.6%)		0/122 (0%)
Woke up a week ago with left foot pain and weakness - felt like the left foot was going to give out	1/180 (0.6%)		0/122 (0%)
His LBP with pain down in left leg has been acting up the last 3 days. Has not seen an MD.	1/180 (0.6%)		0/122 (0%)
Taken off arthritis med by his PCP. He has been in a great deal of pain since then.	1/180 (0.6%)		0/122 (0%)
The left hip and LB pain worse last week, (OA due to old war injury).	1/180 (0.6%)		0/122 (0%)
His lower back pain was acting up last week.	1/180 (0.6%)		0/122 (0%)
LBP after making a "bad twist". Not seen an MD.	1/180 (0.6%)		0/122 (0%)
Pain in left shoulder. Still doing his exercises - doesn't make it worse.	1/180 (0.6%)		0/122 (0%)
Pt's R knee, (torn meniscus), and left shoulder (torn rotator cuff) "flared up" a week ago	1/180 (0.6%)		0/122 (0%)
Pt's R knee OA flared up.	1/180 (0.6%)		0/122 (0%)
Knee and ankle. (The knee was an issue before ) and the ankle pt is unsure of what going on	1/180 (0.6%)		0/122 (0%)
Left foot pain since three weeks ago after wearing a new pair of shoes.	1/180 (0.6%)		0/122 (0%)
Pt has had bilateral knee pain, left worse than right, for two weeks. Is now limping. No injury	1/180 (0.6%)		0/122 (0%)
Right knee pain when bending it. Thinks he bumped it during work (he repairs trucks).	1/180 (0.6%)		0/122 (0%)
Pulled a muscle in LB while doing the Squat the first time.	1/180 (0.6%)		0/122 (0%)
Problem with right foot - heavy pain, could not walk. Went to the ER at the VA	1/180 (0.6%)		0/122 (0%)
Could hardly move due to pain in hips for an hour cooking . Pain on/off for 3 days.	1/180 (0.6%)		0/122 (0%)
She has had terrible LBP She has OA in hips and a history of LBP. No trauma.	1/180 (0.6%)		0/122 (0%)
Muscles feel weaker.	1/180 (0.6%)		0/122 (0%)
Pt developed pain in her spine and neck during a new exercise position in her yoga class	1/180 (0.6%)		0/122 (0%)
Her LBP was acting up for 2.5 weeks - feeling better now.	1/180 (0.6%)		0/122 (0%)
More pain in Right knee. He is scheduled for arthroscopic knee surgery	1/180 (0.6%)		0/122 (0%)
His left Plantar Fasciitis has been acting up.	1/180 (0.6%)		0/122 (0%)
Bil Rotator cuff problems No problems before pt is unsure if rotator cuff but its shoulder joint	1/180 (0.6%)		0/122 (0%)
LBP "something kicks in" started last few months. Not taking any meds. Did not see a doctor.	1/180 (0.6%)		0/122 (0%)
More pain in left leg and LB. Scheduled for an MRIand will try to see his PCP then too.	1/180 (0.6%)		0/122 (0%)
Pain in knees and back for the last month. He has a pinched nerve and arthritis in the knees.	1/180 (0.6%)		0/122 (0%)
Crook in neck r/t sleeping habits -per pt	1/180 (0.6%)		0/122 (0%)
Went to the VA ER due to right knee being very tender (on the outside, above the knee cap	1/180 (0.6%)		0/122 (0%)
Diagnosed with right patellar -femoral tendonitis/patellar-femoral syndrome	1/180 (0.6%)		0/122 (0%)
Hurt his R knee (has OA), while walking on a gravel road to pick up the mail.	1/180 (0.6%)		0/122 (0%)
Begin to have hip pain.	1/180 (0.6%)		0/122 (0%)
Left shoulder has been bothering him the past month. OA.	1/180 (0.6%)		0/122 (0%)
Both ankles and feet are more swollen since his medication was changed	1/180 (0.6%)		0/122 (0%)
Developed a naval hernia 3 weeks ago when lifting heavy objects	1/180 (0.6%)		0/122 (0%)
Pt went to the VA ER for LBP . Diagnose: muscular strain	1/180 (0.6%)		0/122 (0%)
Developed stress fracture in right foot, which cut tendons in right foot--had surgery to repair	0/180 (0%)		1/122 (0.8%)
Back Pain is getting worse.	1/180 (0.6%)		0/122 (0%)
Started having pain in R arm around elbow joint in AM. Goes away during the day.	1/180 (0.6%)		0/122 (0%)
Pt got "too hot and nauseated" a month ago when walking outdoors during hot weather.	1/180 (0.6%)		0/122 (0%)
His back problem has been acting up again with left foot feeling numb	1/180 (0.6%)		0/122 (0%)
Back pain. Started 3 weeks ago. Not a new problem, "put me out of work for a week,	1/180 (0.6%)		0/122 (0%)
Tendonitis on outside left leg, has had it for a month, but it has been more painful.	1/180 (0.6%)		0/122 (0%)
Foot pain - plantar fasciitis.	1/180 (0.6%)		0/122 (0%)
Tendonitis in right elbow.	1/180 (0.6%)		0/122 (0%)
More pain in R hip & L knee. Went to the VA ER. Rx: Discontinue the statin medication.	1/180 (0.6%)		0/122 (0%)
Woke up one night a week ago with pain in both elbows -comes and goes. Has had it before	1/180 (0.6%)		0/122 (0%)
His bilateral knee pain has gotten worse during the course of the last two weeks	1/180 (0.6%)		0/122 (0%)
Knee pain is more severe--will have right knee replaced this Thursday	1/180 (0.6%)		0/122 (0%)
Both his knees were very sore and swollen after the walk on Sunday	1/180 (0.6%)		0/122 (0%)
Saw Ortho and received HA injections in both knees.	1/180 (0.6%)		0/122 (0%)
Has had cramps in arms and legs for 3 weeks - saw his local MD 2 weeks ago - received D-vitamin	1/180 (0.6%)		0/122 (0%)
Rotator cuff has been bothering him more than it used to. He has to have injections regularly	1/180 (0.6%)		0/122 (0%)
Shoulder pain with cramps flared up. Saw doctor.	1/180 (0.6%)		0/122 (0%)
"tingling in my fingers" started in the "last month"; cortisone shot L shoulder (pt plays tennis)	1/180 (0.6%)		0/122 (0%)
Left knee swollen, has been swollen on and off for a year. Is not feeling well	1/180 (0.6%)		0/122 (0%)
Left ankle sore and swollen. No injury.	1/180 (0.6%)		0/122 (0%)
Saw local MD in July for his right foot pain went to podiatrist diagnosed with Plantar fasciitis.	1/180 (0.6%)		0/122 (0%)
Developed a pain in the bottom of right heel about 2 weeks ago when walking/working all day	1/180 (0.6%)		0/122 (0%)
Developed LBP radiating down the right leg,while painting baseboards in the house.	1/180 (0.6%)		0/122 (0%)
Pt got blisters on the ball of the right footwhen walking on the beach.	1/180 (0.6%)		0/122 (0%)
LBP for 3 days when bending over to pick up a key from the floor .	1/180 (0.6%)		0/122 (0%)
Has chronic neck pain on/off since two years. It is now getting worse. Surgery/fusion, is planned	1/180 (0.6%)		0/122 (0%)
Pt. noticed a sore muscle in right shoulder - it also looked "different". No trauma	1/180 (0.6%)		0/122 (0%)
Developed a Hernia.	1/180 (0.6%)		0/122 (0%)
Experienced some left knee pain the last 10 days due to adding short spurs of running	1/180 (0.6%)		0/122 (0%)
L knee bothering him "a lot more". Got knee injections again 3 total; 1 wk apart	1/180 (0.6%)		0/122 (0%)
The OA in his left knee and right foot has been bothering him more.	1/180 (0.6%)		0/122 (0%)
Pain in left hip/leg since 3 weeks ago (old injury from Vietnam)	1/180 (0.6%)		0/122 (0%)
His little toe on L foot has been painful and inflamed for 2 weeks. thinks it is an ingrown toe nail	1/180 (0.6%)		0/122 (0%)
Problems with L foot pain in 4th metatarsal. He reports he could not walk like he wants to.	1/180 (0.6%)		0/122 (0%)
Left knee pain down lateral side of tibia for 2 weeks. No injury.	1/180 (0.6%)		0/122 (0%)
His left knee has been more painful and swollen since he tried to return to work	1/180 (0.6%)		0/122 (0%)
Left knee still more painful and swollen. Will see a local orthopedic this week.	1/180 (0.6%)		0/122 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Had a cyst taken out on his forehead at the VA.	1/180 (0.6%)		0/122 (0%)
Knot on stomach. Pt had it drained @ DVAMC ER. Not sure of the actual dx.	1/180 (0.6%)		0/122 (0%)
Has melanoma on back of knee on left leg--had biopsy, to have melanoma removed today.	0/180 (0%)		1/122 (0.8%)
Had out-patient procedure to remove fluid from cyst on his left kidney.	1/180 (0.6%)		0/122 (0%)
Two Melanoma cancers removed off of back of his left shoulder.	1/180 (0.6%)		0/122 (0%)
Was told a couple of months ago that his prostate cancer has returned.	1/180 (0.6%)		0/122 (0%)
emergency app for a perirectal growth. He was referred to surgery for drainage. Discharged to home.	1/180 (0.6%)		0/122 (0%)
Basal cell carcinoma removed.	1/180 (0.6%)		0/122 (0%)
ER for problems breathing. Reoccurrence of sinus polyps. CAT Scan done at DR. office. Surgery	1/180 (0.6%)		0/122 (0%)
Had skin cancer removed from his back at the VA	0/180 (0%)		1/122 (0.8%)
Oct 09 had prostate biopsy. Diagnosed with cancer. Private urologist. Cary, NC	0/180 (0%)		1/122 (0.8%)
Did a CT scan at the VA which showed two nodules on right lung. Follow-up CT in 3 month.	1/180 (0.6%)		0/122 (0%)
Removed a "pre-cancerous melanoma" from the R chest area a few weeks ago.	1/180 (0.6%)		0/122 (0%)
Left elbow has developed a growth. Will se PCP tomorrow	1/180 (0.6%)		0/122 (0%)
Nervous system disorders
Temporarily lost feeling in right leg and fell on grass. This is nerve related and not new problem.	1/180 (0.6%)		0/122 (0%)
2 "seizures" probably related to increase in dosage of medicine	1/180 (0.6%)		0/122 (0%)
Problems with arms from nerve pain (ongoing) started UNK.	0/180 (0%)		1/122 (0.8%)
Pt has had headaches the last month Rx; Head CT, lab work, Naproxen.	1/180 (0.6%)		0/122 (0%)
4 to 5 months ago started having intermittent sciatica. Just started one day- no cause.	1/180 (0.6%)		0/122 (0%)
His neuropathy has been worse the last week. Has not been walking.	1/180 (0.6%)		0/122 (0%)
Pt has had symptoms of vertigo . PCP informed her that she might have had "mini-strokes".	1/180 (0.6%)		0/122 (0%)
Pain all the way down in left leg. Had an appointment with the pain clinic	1/180 (0.6%)		0/122 (0%)
Has been having dizzy spells with increased vision problems and neuropathy.	0/180 (0%)		1/122 (0.8%)
Psychiatric disorders
Pt has been "hibernating" for 3 weeks- not feeling well and spending most time in bed	1/180 (0.6%)		0/122 (0%)
In the hospital for 4 days due to mental health reasons.	1/180 (0.6%)		0/122 (0%)
Sick to his stomach - very stressful situation in his life right now. Boot-camp nightmares.	1/180 (0.6%)		0/122 (0%)
Been feeling angry and having night sweats and nightmares getting worse the last 2 weeks.	1/180 (0.6%)		0/122 (0%)
His PTSD has flared up the last 2 weeks.	1/180 (0.6%)		0/122 (0%)
less sleep due to PTSD problems and sleeping meds not working as well	0/180 (0%)		1/122 (0.8%)
Depression."Was in a bad cycle for a month, month and a half" mother in law hospitalized.	1/180 (0.6%)		0/122 (0%)
His PTSD has been acting up the last four weeks. Usually happens in the fall.	1/180 (0.6%)		0/122 (0%)
Has been up to the VA in Virginia for 2 weeks for his PTSD.	1/180 (0.6%)		0/122 (0%)
Has occasional problems with his PTSD--he calls them "episodes"	1/180 (0.6%)		0/122 (0%)
Still having a flare of his PTSD. Has a MH app.	1/180 (0.6%)		0/122 (0%)
Has been very depressed for a long time. He is under the care of his MD.	1/180 (0.6%)		0/122 (0%)
Depression.	1/180 (0.6%)		0/122 (0%)
Admitted to the VA for atypical chest pain - pain more related to PTSD/anxiety	1/180 (0.6%)		0/122 (0%)
PTSD flare-up.	1/180 (0.6%)		0/122 (0%)
Pt presented to the VA ER for flashbacks from the Vietnam Era incident.	1/180 (0.6%)		0/122 (0%)
Renal and urinary disorders
Has had a UTI.	1/180 (0.6%)		0/122 (0%)
Went VA ER for an URI - got antibiotics.	1/180 (0.6%)		0/122 (0%)
Went to local ER for stomach pain - diagnosed with kidney stones.	1/180 (0.6%)		0/122 (0%)
prostate enlarged, now needs to catheterize self And "kidneys are trying to shut down"	0/180 (0%)		1/122 (0.8%)
Kidney stones . Went to the local ER in Morehead. Rx= pain medication.	1/180 (0.6%)		0/122 (0%)
Has had an URI for 7-10 days	1/180 (0.6%)		0/122 (0%)
Kidney stones.	1/180 (0.6%)		0/122 (0%)
His kidneys have been failing the last several month, worse now the last two month.	1/180 (0.6%)		0/122 (0%)
Pt presented to the VA ER with UTI/prostatitis. Received meds. Doing fine now.	1/180 (0.6%)		0/122 (0%)
Diagnosed with chronic kidney disease a week ago by local PCP.	1/180 (0.6%)		0/122 (0%)
Pt vent to the VA ER for an URI. RX: meds.	1/180 (0.6%)		0/122 (0%)
Saw private Dr 2 wks ago for bld work and bld in urine. enlarged prostate	0/180 (0%)		1/122 (0.8%)
Passed blood 2 weeks ago - this happens when in physical stress. Has not seen his MD	1/180 (0.6%)		0/122 (0%)
kidney stone.	1/180 (0.6%)		0/122 (0%)
Kidney stones (3) passed. All summer long. Passed most sever one "2 weeks ago".	1/180 (0.6%)		0/122 (0%)
Passed a kidney stone. Did not see an MD.	1/180 (0.6%)		0/122 (0%)
Presented to the VA ER for an URI. Rx medication. Scheduled for a fistulotomy	1/180 (0.6%)		0/122 (0%)
Pt has had bladder problems/pain for several weeks.	1/180 (0.6%)		0/122 (0%)
Incontinence is worse.	0/180 (0%)		1/122 (0.8%)
Urinating a lot.	0/180 (0%)		1/122 (0.8%)
Pt had another UTI a month ago and saw his local MD: RX : antibiotics and referred to urologist.	1/180 (0.6%)		0/122 (0%)
Went to the local MD for an UTI and was treated with antibiotics.	1/180 (0.6%)		0/122 (0%)
He had an UTI 2 weeks ago and saw his local MD. Rx: antibiotics.	1/180 (0.6%)		0/122 (0%)
Respiratory, thoracic and mediastinal disorders
Pt saw In VA ER for confusion & indigestion, & SOB. Received neb tx. Has COPD.	1/180 (0.6%)		0/122 (0%)
Got the flu. Went to the VA ER and diagnosed with a post-viral COPD flair	1/180 (0.6%)		0/122 (0%)
More SOB when walking outdoors for the last month.	1/180 (0.6%)		0/122 (0%)
Trouble breathing through the nose. Had surgery for his nose 6 years ago.	1/180 (0.6%)		0/122 (0%)
Breathing has gotten worse (short of breathe).	0/180 (0%)		1/122 (0.8%)
Pt developed left sided chest pain while watching TV, Diagnose: no ischemia.	1/180 (0.6%)		0/122 (0%)
Skin and subcutaneous tissue disorders
Corn on right foot / third toe	0/180 (0%)		1/122 (0.8%)
Patient seen by the Dermatology for multiple boils and increased SOB.	1/180 (0.6%)		0/122 (0%)
Pt's face broke out red a week ago. Doesn't know why.	1/180 (0.6%)		0/122 (0%)
Both hands became red with blisters (chemical burn?),	1/180 (0.6%)		0/122 (0%)
In to the VA ER today, for hemorrhoidal bleeding. Doing OK now.	1/180 (0.6%)		0/122 (0%)
Hemorrhoids have gotten worst- scheduled for surgery later this month.	0/180 (0%)		1/122 (0.8%)
Surgical and medical procedures
Had surgery for reversal of ileostomy in Burlington, . The surgery went very well.	1/180 (0.6%)		0/122 (0%)
Had laser surgery done on left leg on - planned procedure. Has had a nerve pain in left leg	1/180 (0.6%)		0/122 (0%)
About 5 months ago, had carpal tunnel repair surgery on left hand.	1/180 (0.6%)		0/122 (0%)
Had eye surgery at the VA.	1/180 (0.6%)		0/122 (0%)
Had Moh's surgery on right ear at Duke.	1/180 (0.6%)		0/122 (0%)
Had second cataract removed around September.	1/180 (0.6%)		0/122 (0%)
Had cataract removed around August.	1/180 (0.6%)		0/122 (0%)
Moh's surgery on the nose.	1/180 (0.6%)		0/122 (0%)
Had prostate procedure.	1/180 (0.6%)		0/122 (0%)
Went to VA ER for a perianal abscess. General surgery lanced the abscess.	1/180 (0.6%)		0/122 (0%)
Had extensive Moh's surgery on his nose at Duke.	1/180 (0.6%)		0/122 (0%)
Pt had left eye surgery at Duke clinic in Raleigh. Follow up appt. scheduled in 2 weeks.	1/180 (0.6%)		0/122 (0%)
Bilateral eye surgery (cataracts).	1/180 (0.6%)		0/122 (0%)
Had left eye lid surgery.	1/180 (0.6%)		0/122 (0%)
Had right eye cataract surgery.	1/180 (0.6%)		0/122 (0%)
Had one cataract removed in November at Rex Hospital.	1/180 (0.6%)		0/122 (0%)
Pt had cataract surgery in right eye	1/180 (0.6%)		0/122 (0%)
Had Moh's surgery a week ago.	1/180 (0.6%)		0/122 (0%)
L arthroscopic surgery for torn cartilage.	0/180 (0%)		1/122 (0.8%)
Had scheduled hernia surgery done at the VA. Doing fine.	1/180 (0.6%)		0/122 (0%)
Pt had laparoscopic cholecystectomy at the VA. Discharged to home the next day.	1/180 (0.6%)		0/122 (0%)
5 months ago had 4 stents put in at the Durham VA.	1/180 (0.6%)		0/122 (0%)
Pt had out-patient left carpal tunnel release surgery at the VA	1/180 (0.6%)		0/122 (0%)
Arthroscopic right knee surgery. Released same day.	1/180 (0.6%)		0/122 (0%)
Had surgery on left ear drum (chronic ringing in ear). Out pt.	0/180 (0%)		1/122 (0.8%)
Pt had outpatient surgery for bladder cancer	1/180 (0.6%)		0/122 (0%)
Vascular disorders
Pain and swelling of left leg. Saw MD phlebitis.	1/180 (0.6%)		0/122 (0%)
Pt discovered fluid in both legs Received Lasix for 3 days.	1/180 (0.6%)		0/122 (0%)
diagnosed with right leg blockage from the ankle up to the stomach. Has a vascular app.	1/180 (0.6%)		0/122 (0%)
Pt. has had gradually increasing pain in right leg from knee down to ankle since beginning of Dec	1/180 (0.6%)		0/122 (0%)
His nose bleeding got worse last three weeks. Has had it on/off for several years	1/180 (0.6%)		0/122 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.