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SUBJECTS
EGD Test Schedule 101210 0930 Follow Up EGD 100827 Recovery Acid Ref

4503 -
4503 -    ..
4504 - Summary/Objective
4505 -
450501 - Follow up ref SDS 58 0000. ref SDS 56 0000.
450502 -
450503 -
450504 -
450505 -
450507 -  ..
4506 -
4507 -
4508 - Progress
4509 -
450901 - Background reported on 100827 0738. ref SDS 52 5R5H
450902 -
450903 - On 101007 called VA to schedule meeting for follow up EGD test,
450904 - ref SDS 56 5R5H, planned in the meeting with Doctor Lee on 100827
450905 - 0738. ref SDS 52 SG8M as shown in medical chart, also reported on
450906 - 100827 0738. ref SDS 52 MZ8J
450908 -  ..
450909 - On 101012 Jennifer called and scheduled EDG test with Doctor Lee on
450910 - 101210 0930. ref SDS 58 KD5G
450912 -  ..
450913 - Today, received letter from Jennifer postmarked 101013, to confirm
450914 - telecon on 101012, and saying...
450915 -
450916 -    1.  Medical Record Progress Notes
450917 -        Note dated....................... 101012 1538
450918 -        Local Title:  Nursing Note 60251
450919 -        Standard Title:  Nursing Note
450920 -        Visit:  100827 0830 MTZ GI Procedure Lee
450921 -        Upper Endoscopy Pre-Procedure Patient Instructions
450922 -        VA Martinez
450925 -         ..
450926 -    2.  Procedure to be performed............... EGD
450931 -         ..
450932 -    4.  Date and Time of Examination............ 101210 0930
450934 -  ..
450935 - This EGD test will assess response to treatment after dilation, and
450936 - increasing the dose of Omeprazole 20 mg from once to twice daily,
450937 - reported on 100827 0738, ref SDS 52 SG8M
450939 -  ..
450940 - VA letter continues...
450941 -
450942 -    5.  Please arrive at Reception C with your driver and VA Card for
450943 -        your procedure.
450945 -         ..
450946 -    6.  Your driver must be present when you check in if you wish to
450947 -        have sedation for your procedure.  There are no exceptions.  If
450948 -        you are scheduled for a 0730 procedure, please inform the VA
450949 -        police at the clinic door that your are here for a procedure.
450950 -        Do not wait for the clinic to open at 0800.
450952 -  ..
450953 - This clarifies experience on 100827, when conflicting instructions
450954 - were resolved favorably to provide patient care. ref SDS 52 SM9M
450976 -             ..
450977 -            [On 101108 0929 develop transportation solutions for EGD
450978 -            test on 101210. ref SDS 61 JV88
450980 -             ..
450981 -            [On 101108 0929 letter asks Kim to coordinate with Doctor
450982 -            Lee on arranging a driver for EGD test on 101210.
450983 -            ref SDS 61 465I
450985 -             ..
450986 -            [On 101124 1625 telephone message confimrs EGD test
450987 -            scheduled GI Department VA Clinic Martinez CA, does not
450988 -            report solution for driver requirement. ref SDS 62 PS4O
450989 -
450991 -  ..
450992 - VA letter continues...
450993 -
450994 -    7.  Instructions to the patient
450995 -
450996 -        Two (2) days prior (i.e., in this case on 101208) to your
450997 -        procedure date avoid green leafy vegetables, food with small
450998 -        seeds (strawberries, kiwi, tomatoes, etc), corn, popcorn,
450999 -        sunflower seeds, beans, and any supplemental fiber (Psyllium,
451000 -        Metamucil, Citrucel, Fibrocon).
451001 -
451002 -            [On 101207 1000 cited Jennifer's guidance on diet in the
451003 -            record meeting at the VA with the doctor to prepare for the
451004 -            EGD test on 101210. ref SDS 63 KG6M
451006 -             ..
451007 -            [On 101010 0744 on 101208 implement Jennifer's diet
451008 -            restrictions prepare for EGD test. ref SDS 57 ZT6I
451010 -         ..
451011 -    8.  Day of the procedure on 101210...
451012 -
451013 -        a.  The day prior on 101209 to your procedure, nothing to eat
451014 -            or drink after midnight.
451015 -
451016 -        b.  Nothing to eat or drink on the morning of your procedure.
451018 -             ..
451019 -        c.  Someone must take you home.  You will be medicated for this
451020 -            procedure.
451022 -             ..
451023 -        d.  You cannot operate a motor vehicle for 24 hours after your
451024 -            procedure.
451026 -             ..
451027 -            [On 101207 1000 cited Jennifer's guidance on driver support
451028 -            and Doctor Lee's plan to address logistics. ref SDS 63 2Y3M
451030 -         ..
451031 -    9.  Call 925 372 2000 extension 5168 for questions regarding your
451032 -        procedure or if you need to change or cancel your appointment.
451033 -        Leave your name, last 4 of your social security number, and a
451034 -        brief message.  Your call will be returned in the afternoon.
451035 -
451038 -                        Nursing Service
451039 -                        101012 1541
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