CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 32 0000. ref SDS 31 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040507 -
040509 -  ..
0406 -
0407 -
0408 - Background
0409 -
040901 - On 091103 Paula reported the VA has scheduled a meeting today with
040902 - Doctor Stewart for planning Heller Myotomy surgery to correct
040903 - achalasia problem. ref SDS 17 PS60  On 091104 0718 Medical Chart
040904 - discharge guidance lists meeting with Doctor Stewart 091117 1300,
040905 - which conflicts with patient history today. ref SDS 18 Q03J  On 091119
040906 - 1000 Erick confirmed visit with Doctor Stewart on 091208, and is
040907 - reviewing date of surgery scheduled for 091217. ref SDS 20 935H
040909 -  ..
040910 - On 091104 0718 discharged from VA recovering from quadruple heart
040911 - bypass surgery, ref SDS 18 PR4V, performed on 091022 0700. ref SDS 12
040912 - PQWU; received medical record with list of medications, also on 091104
040913 - 0718, ref SDS 18 1Q6P, and follow up meetings. ref SDS 18 9T6O
040915 -  ..
040916 - On 091208 Doctor Stewart advanced the schedule for surgery one day to
040917 - 091216. ref SDS 22 6E41
040919 -  ..
040920 - On 091216 0600 meeting Doctor Stewart for Heller Myotomy surgery to
040921 - correct achalasia; check in at ASU. ref SDS 26 PP8W
040923 -  ..
040924 - On 091217 0600 meeting with Joe and Jon on recovring from Heller
040925 - Myotomy surgery; report of complication during surgery on 091216,
040926 - which was repaired, with plan for test to evaluate recovery. reported
040927 - on 091217 0600, ref SDS 27 0042  Doctor Stewart visited and expects
040928 - can start eating after favorable test. ref SDS 27 027A
040930 -  ..
040931 - On 091218 0600 xray with gastrogafin to evaluate repair for
040932 - complicaiton during Heller Myotomoy surgery Wednesday, ref SDS 28 PP8W,
040934 -  ..
040935 - On 091219 0600 doctor plans discharge tomorrow after evaluating
040936 - progress eating solid food today. ref SDS 29 PP5V  Since now eating
040937 - solid food, switched to oral pill medication to replace IV injections;
040938 - this relieved pain that has been increasing using IV catheters set on
040939 - Wednesday, ref SDS 29 PQPX, and also eliminated need to replace IV
040940 - catheters per TCU protocol. ref SDS 29 7Q55  Doctors prescribed hiking
040941 - to recover from Heller Myotomy surgery resolving achalasia.
040942 - ref SDS 29 7Q6P   Doctor Ratcliff and Neil visit and discussing doing a
040943 - small business trial to apply SDS technology for upgrading VA and UCSF
040944 - case management. ref SDS 29 0M6S  Nurse advises that patient approved
040945 - for moving to a ward for non-critical care, as a predicate to
040946 - discharge, but since there are no rooms available, patient will remain
040947 - in TCU untill a room is available. ref SDS 29 0M8S
040949 -  ..
040950 - On 091220 0527 discharge approved from hospital today. ref SDS 30 PP8W
040951 - Left the hospital about 1220. ref SDS 30 HB5O
040953 -  ..
040954 - On 091221 1532 Isagani called to schedule meeting with Doctor Stewart
040955 - at VA in San Francisco on 100105. ref SDS 31 PP8W
040957 -  ..
040958 - On 091222 1109 letter from Isagana says meeting with Doctor Stewart is
040959 - scheduled on 100112 1400. ref SDS 32 PP8W
040961 -  ..
040962 - On 091223 1452 letter came in regular mail scheduling a meeting with
040963 - Doctor Stewart on 100105 1400. ref SDS 0 PP8W
040964 -
040965 -
040966 -
040968 -  ..
0410 -
0411 -
0412 - Progess
0413 -
041301 - Received letter from Isagana saying...
041302 -
041303 -    1.  Subject:  Clinic Appointment
041304 -        Date: December 21, 2009
041311 -         ..
041312 -        This is verification of your clinic appointment.
041313 -
041314 -            Tuesday January 5, 2009 1400
041315 -            General Surgery Clinic
041316 -            Doctor Stewart
041318 -  ..
041319 - This letter aligns with the call from Isagani on 091221 saying the
041320 - meeting with Doctor Stewart is on 100105 1400, reported on 091221
041321 - 1532. ref SDS 31 PP8W  The letter today conflicts with Isagani's
041322 - letter yesterday saying the meeting with Doctor Stewart in on 100112
041323 - 1400, reported 091222 1109, ref SDS 32 PP8W
041325 -  ..
041326 - This record suggests the letter yesterday may be a mistake, or else
041327 - there are 2 meetings scheduled.
041328 -
041329 -            [On 091228 1049 letter to VA asks Isagani to clarify date
041330 -            for meeting with Doctor Stewart, and whether there are two
041331 -            (2) meetings? ref SDS 33 PP8W
041333 -             ..
041334 -            [On 091228 1418 letter from Isagani says meeting with
041335 -            Doctor Stewart is on 100105, and there is only 1 meeting
041336 -            scheduled, not 2. ref SDS 34 PP8W
041338 -  ..
041339 - Letter from VA continues...
041340 -
041341 -    2.  On the day of your appointment, please arrive 15 minutes pior
041342 -        to your scheduled appointment time.  If you need to update your
041343 -        Means Test (financial information), pleas do so prior to your
041344 -        appointment.
041346 -         ..
041347 -    3.  Your appointment may last approximately 3 hours.  During this
041348 -        tme you....
041349 -
041350 -        1.  Will meet with a physician or nurse practitioner.
041351 -        2.  May meet with an attending physician.
041352 -        3.  May meet with a surgery scheduling clerk.
041353 -        4.  May need to have lab work, EKG, and /or xray tests done.
041355 -         ..
041356 -    4.  For your convenience, there are clearly marked patient/visitor
041357 -        parking areas.  Because we do have limited parking, you may
041358 -        choose to take public transportation.
041360 -         ..
041361 -    5.  If you have questions about yoru appointment or if for any
041362 -        reason you are unable to keep your appointment, please call 415
041363 -        379 5672.  Your appointment may be scheduled for the morning or
041364 -        afternoon for a special reason, hence we may have limited
041365 -        flexibility n changing times, but we will do our best to
041366 -        accomodate your needs.
041368 -         ..
041369 -    6.  Thank you very much.
041371 -         ..
041372 -    7.  VA Medical Center
041373 -        Outpatient Clinic
041374 -        4150 Clement Street
041375 -        San Francisco, CA  94121
041376 -        Building 200, Ground Floor, Module II
041377 -
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0414 -