CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 17 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Background
0409 -
040901 - On 091021 0600 angiogram test shows several heart arteries have severe
040902 - blockages; cardiology recommends heart bypass surgery. ref SDS 6 7L43
040904 -  ..
040905 - On 091022 0700 heart bypass surgery. ref SDS 7 01F9
040907 -  ..
040908 - On 091029 0700 at 1116 Doctor Ratcliff concerned patient requires
040909 - surgery to resolve achalasia in order for the patient to have
040910 - sufficient nutrition to recover from heart bypass surgery. ref SDS 8
040911 - RE7I
040913 -  ..
040914 - On 091030 0810 at 1406 Doctor Stewart explains Heller Myotomy surgery
040915 - to recover from achalasia. ref SDS 9 KE3B; agree to this procedure
040916 - after CT surgery team clears patient for follow on surgery based on
040917 - sufficient recovery from heart surgery on 0910322. ref SDS 9 OY77
040919 -  ..
040920 - On 091103 Paula reported the VA has scheduled a meeting today with
040921 - Doctor Stewart for planning Heller Myotomy surgery to correct
040922 - achalasia problem. ref SDS 11 PS60
040924 -  ..
040925 - On 091104 0718 Medical Chart discharge guidance lists meeting with
040926 - Doctor Stewart 091117 1300, which conflicts with patient history
040927 - today. ref SDS 12 Q03J
040929 -  ..
040930 - On 091119 1000 Erick confirmed visit with Doctor Stewart on 091208,
040931 - and is reviewing date of surgery scheduled for 091217. ref SDS 14 935H
040933 -  ..
040934 - On 091201 1103 letter to medical team submits agenda for the meeting
040935 - today. ref SDS 16 M86X
040937 -  ..
040938 - On 091208 1300 meeting with Doctor Stewart schedules surgery to
040939 - resolve achalasia on 091216 0600. ref SDS 17 PQVQ
040941 -  ..
040942 - On 091211 1523 submit letter to medical team with results meeting
040943 - Doctor Stewart at the VA on 091208. ref SDS 0 PPXY
040944 -
040946 -  ..
0410 -
0411 -
0412 - Progress
0413 -
041301 - Letter to the medical team says...
041302 -
041303 -    1.  Subject: Surgery Achalasia Scheduled Dec 16; DVT Resolved Coumadin Ends
041304 -        Date: Fri, 11 Dec 2009 15:48:45 -0800
041314 -         ..
041315 -    3.  Happy holidays to the medical team!!
041317 -         ..
041318 -    4.  On 091208 1300, I met with Doctor Stewart and Doctor Tabrizi in
041319 -        the VA Clinic at San Francisco, as shown in patient history.
041320 -        ref SDS 17 CQ3W
041321 -
041322 -            [On 091223 1503 letter thanks Father Gould for discussing
041323 -            religion in the hospital on 091218 0541 at 1603,
041324 -            ref SDS 21 9G6O, recovering from surgery planned in this
041325 -            letter to the medical team today. ref SDS 0 PPXY, and
041326 -            submitting links to NWO on correlation between religion and
041327 -            science, ref SDS 24 566L,
041329 -         ..
041330 -    5.  Doctor Tabrizi performed examination and briefed Doctor Stewart
041331 -        on patient history. ref SDS 17 KU8I  Doctor Stewart then
041332 -        advanced the schedule to 091216 0600 for Heller Myotomy surgery
041333 -        to resolve achalasia. ref SDS 17 6E41  Thanks again to Paula
041334 -        for "getting the ball rolling" with initial planning on 091103,
041335 -        ref SDS 11 PS60, to perform the work on 091217.
041336 -
041337 -            [On 091216 0600 meeting at VA for Heller Myotomy surgery to
041338 -            recover fro achalasia. ref SDS 20 4M5T
041340 -         ..
041341 -    6.  Based on understandings of consultations between Doctor Stewart
041342 -        and Doctor Tseng, and the CT surgery team, I signed the consent
041343 -        form for Heller Myotomy surgery on 091216, approximately 2
041344 -        months following heart surgery on 091222 [actually 091022].
041345 -        ref SDS 17 DZ4M
041347 -         ..
041348 -    7.  Doctor Stewart ordered follow up sonogram test to evaluate
041349 -        prior DVT findings. ref SDS 17 C46I  This was performed at 1549
041350 -        by Irene and Ping in the Radiology Department. ref SDS 17 D26K
041351 -        There were no findings of DVT, ref SDS 17 D24G, indicating
041352 -        resolution of problem reported previously on 091030.
041353 -        ref SDS 9 KF5W
041355 -         ..
041356 -    8.  As a result, Doctor Stewart ordered treatment with warfarin
041357 -        (Coumadin) to end on 091208, which is required at least 5-days
041358 -        before surgery on 091216. ref SDS 17 D259
041360 -         ..
041361 -    9.  Coumadin treatments were already scheduled to end on 091212.
041362 -        Test findings today resolve concerns presented during the
041363 -        meeting with Diana, Case Manager for Coagulation Control, at
041364 -        the VA Clinic in Martinez, with respect to continuing Coumadin
041365 -        after surgery on 091216.  By copy to Diana, confirm these
041366 -        understandings, and so meeting at the VA in Martinez to review
041367 -        INR status, and scheduled for 091214, is no longer necessary.
041369 -         ..
041370 -   10.  Mike scheduled surgery pre-op at the VA in San Francisco on
041371 -        091214 [reported on 091208 1300. ref SDS 17 PUQT].
041372 -
041373 -            [On 091214 1100 meeting at VA for pre-op required for
041374 -            Heller Myotomy surgery to recover from achalasia.
041375 -            ref SDS 18 5R5H
041377 -             ..
041378 -            [On 091216 0600 meeting at VA for Heller Myotomy surgery to
041379 -            recover fro achalasia. ref SDS 20 4M5T
041381 -         ..
041382 -   11.  I was very pleased to see Doctor Joe Enayati, who indicated he
041383 -        has been transferred to General Surgery, and will support my
041384 -        care post-op on 091216.  Continuity of care with the CT Surgery
041385 -        team enables timely communication and effective collaboration
041386 -        resolving complications, which may arise from near-term general
041387 -        surgery, following heart surgery on 091022 [reported on 091208
041388 -        1300. ref SDS 17 D14M]
041390 -         ..
041391 -   12.  Surgery to resolve achalasia on 091216 aligns with the schedule
041392 -        to see the CT surgery team the next day on 091217, which you
041393 -        and Erick planned during the meeting on 091119. ref SDS 14 FW6W
041394 -        Doctor Stewart indicated today that I may be hospitalized for a
041395 -        few days to observe recovery from surgery. ref SDS 17 UL9G
041396 -        Therefore, the CT surgery team can visit for follow up
041397 -        examination at a convenient time on 091217 or possibly the
041398 -        18th.
041399 -
041400 -            [On 091219 0600 met with CT surgery team in TCU unit of VA
041401 -            Medical Center in San Francisco while recovering Heller
041402 -            Myotomy surgery, ref SDS 22 0M6S; examination showed good
041403 -            progress recovering from heart surgery (CAGB) 2 months
041404 -            earlier on 091022. ref SDS 22 Z98L
041406 -         ..
041407 -   13.  Thanks very much to Doctor Stewart for expediting my care, and
041408 -        to the entire medical team for excellent coordination.
041409 -        Everything seems lined up for successful surgery to recover
041410 -        from achalasia, and with minimal complications arising from
041411 -        prior heart surgery.  This next surgery will reverse prior
041412 -        negative synergy so that nutrition can become a positive factor
041413 -        in full recovery from heart surgery, as planned by Doctor
041414 -        Ratcliff on 091029. ref SDS 8 RE7I
041416 -         ..
041417 -   14.  I am grateful for proactive, comprehensive planning by the VA.
041418 -
041419 -            [On 091216 0600 meeting at VA for Heller Myotomy surgery to
041420 -            recover fro achalasia. ref SDS 20 4M5T
041421 -
041422 -            [On 091214 1100 meeting at VA for pre-op required for
041423 -            Heller Myotomy surgery to recover from achalasia.
041424 -            ref SDS 18 5R5H
041426 -             ..
041427 -            [On 091215 1017 letter to medical team confirming
041428 -            understandings from pre-op meeting with Isagani on 091214
041429 -            required for Heller Myotomy surgery to recover from
041430 -            achalasia. ref SDS 19 5R5H
041432 -             ..
041433 -            [On 091222 1109 surgery was performed on 091216, and
041434 -            patient discharged from hospital on 091220; on 091221
041435 -            Isagani schedules meeting with Doctor Stewart on 100105;
041436 -            and next day on 091222, received letter from Isagani
041437 -            responding to the letter today, and saying meeting with
041438 -            Doctor Stewart is on 100112. ref SDS 23 PP8W
041440 -         ..
041441 -   15.  Happy holidays!!
041442 -
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0415 -