Person:Roy Richey (1)

_DCAUSE: Arterioscleretic heart disease and Disseminated coccidiodomycosis Date: 30 JUN 1981 Place: Chandler, AZ - Green Acres

!Occupation was a minister. Dad first church was Nevada in 1939. He also served at Kokomo, In., Logansport, In., Argos, In., Canton, Oh., Ashley, In. He also was the assistance minister at the Church of Brethren-Long Beach, California, and at the First Church of the Brethren in Phoenix, Ariz. Dad loved to fly. He had his Instructors license, and was qualified to teach and fly dual engines aircraft. Logansport - 1946 Walnut Church - 1952 Council Bluffs - 1957 Canton - 1964 Cedar Lake - 1969 Long Beach - 1972 Phoenix - 1979

1930 Census - Howard County - Center Township - Kokomo City - 3rd Ward (part of) RICHEY, Roy - Age 24 - Age at marriage 18 - Born Indiana - Father Born In - Mother Born In - Laborer - Pottery Mill RICHEY, Olga - Wife - Age 23 - Age at marriage 17 - Born Indiana - Father Born Indiana - Mother Indiana RICHEY, Robert E. - Son - Age 4 1/12 MEEKS, Arline - Sister in law - Age 28 - Occupation Stenographer Law Office

Fountain Valley Regional Hospital and Medical Center = Fountain Valley, Ca. 12-26-2000 Report Discharge Summary - Admitted 12/26/00 Discharge: 12/29/00 (Date wrong as Dad died 6/26/1981) Discharge Diagnosis: 1. Ischemic Cardiomyopathy 2. Congestive Heart Failure Exacerbation. 3. Atherosclerotic Heart Disease Status Post Myocardial Infarction and Bypass Graft Surgery. 4. History of Ventricular Tachycardia, status Post PCD. 5. Disbetes Mellitus Type 2 6. Dyspepsia. 7. Pleural Effusion. 8. History of Abdominal Aoftic Aneurysm. Status Post Repair in 1998

History of Presenting Illness! Please look at my detailed history and physical for admission. This is a 70 year old gentleman who was admitted with worsening shortness of breath and chest discomfort. Due to his worsening breathing and inability to sleep, the patient was admitted to rule out myocardial infarction and also for treatment of congestive heart failure.

Serial cardiac enzymes were done which were negative for myocardial infarction. A 2-D ec hocardiogram was also done which showed an ejection fracture of 40% and moderate_________ mitral regurgitation and motor tricuspid regurgitation. The patient was give diuretics and with that he symptomatically improved.

A chest x-ray was done which showed right pleural effusion.

Dr. Bondade was consulted who had seen the patient before when he did have plueral centesis in the past. Dr. Bondade's impression was that the patient could be managed conservatively and he will follow-up with the patient as an outpatient.

Also, because of epigastric pain and history of gallstones, Dr. Saini evaluated the patient and his feeling was that he had dyspepsia. A HIDA scan was done which was negative and ultrasound of the abdomen was done which showed gallstones and normal common bile duct signs.

The patient is being discharged home in stable condition. He will follow-up with Dr. Bondade in two to three weeks.

Disseminated coccidioidomycosis is a fungal infection that spreads through the bloodstream and involves many organs.

Causes Return to top

Coccidioidomycosis is caused by breathing in spores of Coccidioides immitis, a fungus found in the soil in certain parts of the southwestern U.S., Mexico, and Central and South America.

Most acute infections cause no symptoms and are only recognized by a positive coccidioidin skin test. Other times, the symptoms range from mild to severe.

In the disseminated form of the disease, the infection may spread to the bones, lungs, liver, brain, skin, heart, and pericardium (sac around the heart). Meningitis occurs in 30 - 50% of cases of disseminated disease.

The following increases your risk of disseminated coccidioidomycosis:

• Diabetes
• Immunosuppression such as that caused by HIV infection
• Pregnancy
• Traveling to or living in southwestern deserts of the United States

Symptoms Return to top

• Cough
• Fever
• Chills
• Headache
• Muscle stiffness
• Muscle aches
• Neck stiffness or shoulder stiffness
• Change in mental status
• Sensitivity to light

Additional symptoms that may be associated with this disease:

• Joint swelling
• Joint pain
• Skin reaction (erythema nodosum)
• Arthritis
• Ankle, feet, and leg swelling

1. ↑ Ancestry.com. 1930 United States Federal Census. (Name: The Generations Network, Inc.; Location: Provo, UT, USA; Date: 2002;)
   Database online. Kokomo, Howard, Indiana, ED 7, roll 591, page , image 1024.0.

   Record for Robert E Richey _FOOT: Ancestry.com, 1930 United States Federal Census (Provo, UT, USA: The Generations Network, Inc., 2002), Database online. Kokomo, Howard, Indiana, ED 7, roll 591, page , image 1024.0.

2. ↑ Ancestry.com. 1930 United States Federal Census. (Name: The Generations Network, Inc.; Location: Provo, UT, USA; Date: 2002;)
   Database online. Kokomo, Howard, Indiana, ED 7, roll 591, page , image 1024.0.

   Record for Robert E Richey _FOOT: Ancestry.com, 1930 United States Federal Census (Provo, UT, USA: The Generations Network, Inc., 2002), Database online. Kokomo, Howard, Indiana, ED 7, roll 591, page , image 1024.0.

3. ↑ Ancestry.com. 1930 United States Federal Census. (Name: The Generations Network, Inc.; Location: Provo, UT, USA; Date: 2002;)
   Database online. Kokomo, Howard, Indiana, ED 7, roll 591, page , image 1024.0.

   Record for Robert E Richey _FOOT: Ancestry.com, 1930 United States Federal Census (Provo, UT, USA: The Generations Network, Inc., 2002), Database online. Kokomo, Howard, Indiana, ED 7, roll 591, page , image 1024.0.

4. ↑ .

   Footnote: Broderbund Family Archive #110, Vol. 2, Ed. 6, Social Security Death Index: U.S., Date of Import: Jun 21, 1999, Internal Ref. #1.112.6.57676.57 _FOOT: Broderbund Family Archive #110, Vol. 2, Ed. 6, Social Security Death Index: U.S., Date of Import: Jun 21, 1999, Internal Ref. #1.112.6.57676.57

5. ↑ .

   Footnote: Broderbund Family Archive #110, Vol. 2, Ed. 6, Social Security Death Index: U.S., Date of Import: Jun 28, 1999, Internal Ref. #1.112.6.57676.57 _FOOT: Broderbund Family Archive #110, Vol. 2, Ed. 6, Social Security Death Index: U.S., Date of Import: Jun 28, 1999, Internal Ref. #1.112.6.57676.57