CONTACTS
SUBJECTS
VA Pharmacy Omeprazole Fail Refill Cannot Continue Treat Esophagitis
3103 -
3103 - ..
3104 - Summary/Objective
3105 -
310501 - Follow up ref SDS 68 0000. ref SDS 63 0000.
310502 -
310503 -
310504 -
310505 -
310507 - ..
3106 -
3107 -
3108 - Background
3109 -
310901 - EGD on 101210, seems to show progress recovering from esophagitis; the
310902 - doctor dilated the LESV from 11 to 14 cm, reported on 101210 0930,
310903 - ref SDS 49 XG6J
310905 - ..
310906 - Follow up EGD planned for February, ref SDS 49 L94L.
310908 - ..
310909 - Doctor Lee prescribed doubling dose of Omeprazole to increse recover
310910 - from esophagitis, reported on 101210 0930. ref SDS 49 ZN4M
310912 - ..
310913 - On 101216 appears Doctor Lee ordered refill for omeprazole. ref SDS 51
310914 - 8785
310916 - ..
310917 - On 110320 0750 ordered refill Omeprazole to treat Achalasia,
310918 - ref SDS 58 5N3O,
310920 - ..
310921 - On 110626 0721 ordered refill Omeprazole to treat Achalasia.
310922 - ref SDS 62 5N3O
310924 - ..
310925 - On 110913 2238 ordered refill Omeprazole to treat Achalasia,
310926 - ref SDS 63 5N3O
310928 - ..
310929 - On 120326 1549 ordered refill Omeprazole to treat Achalasia,
310930 - ref SDS 68 5N3O
310932 - ..
310933 - On 120330 1439 received refill Omeprazole to treat Achalasia.
310934 - ref SDS 69 5N3O
310936 - ..
310937 - On 120906 1100 Doctor Egan reduced dose Omeprazole 20 mg from 40 mg,
310938 - which increased effective treatments with current prescription.
310939 - ref SDS 70 W165
310941 - ..
310942 - On 120925 1300 Doctor Lee increased dose Omeprazole 40 mg from 20 mg,
310943 - which decreases effective treatments under current prescription.
310944 - ref SDS 71 K37G
310946 - ..
310947 - On 120927 1214 could not order refill for Omeprazole because VA
310948 - Pharmacy has no refills available. ref SDS 0 YK6F
310949 -
310950 -
310952 - ..
3110 -
3111 -
3112 - Progress
3113 -
311301 - Omeprazole Medication Order Prescription Refill Recover Achalasia
311302 -
311303 - Follow up ref SDS 68 5N3O, ref SDS 63 5N3O. ref SDS 62 5N3O.
311304 -
311305 - Under the new prescription entered by Doctor Lee on 120925, patient
311306 - taking 1 20 mg pill of Omeprazole twice a day, reported ref SDS 71
311307 - K37G, there are about 6 days of Omeprazole pills remaining, following
311308 - prior refill ordered on 120326 1549. ref SDS 68 YK6F and received on
311309 - 120330 1439. ref SDS 69 5N3O
311311 - ..
311312 - Rosuvastatin and Omebrazole treatment were both reduced on 120906, to
311313 - avoid dizziness, ordered by Doctor Egan in VA Cardiology. ref SDS 70
311314 - W165
311316 - ..
311317 - Since both treatments were reduced on 120906, dizziness has completely
311318 - been resolved. Additionally, peripheral neuropathy has substantially
311319 - reduced, i.e., improved.
311321 - ..
311322 - Two days ago, Doctor Lee decided to experiment prescribing Omeprazole
311323 - 20 mg pills twice a day for a total of 40 mg per day again to see if
311324 - changing Rosuvastatin alone will continue to resolve dizziness
311325 - problem.
311327 - ..
311328 - As a result, there are only enough pills remaining from the order
311329 - received on 120330, for about 6 more days treatment.
311331 - ..
311332 - Tried to order refill for Omeprazole using VA Internet prescription
311333 - services, accessed VA online Pharmacy to order refills explained in
311334 - the record on 070312 1200. ref SDS 4 749G
311336 - ..
311337 - Previously, on 120326, VA's pharmacy website listed...
311338 -
311339 - Refill
311340 - Submit Fill Refills
311341 - Date Date Remaining Prescription
311342 -
311343 - Active 120326 2 RX # 10864663A
311344 - Omeprazole 20 MG
311345 -
311346 -
311347 - ...as shon in the record on 120326 1549. ref SDS 68 Q84L Since there
311348 - has been only 1 refill order placed on 120326, there should be 1
311349 - refill remaining, as shown 120326. ref SDS 68 Q84L
311351 - ..
311352 - However, VA online pharmacy shows no refills available for Omeprazole.
311354 - ..
311355 - Since Doctor Lee ordered continuing Omperazole 20 mg twice a day on
311356 - 120925, he may have entered the prescription, and so it could be
311357 - delivered on his ordered.
311359 - ..
311360 - There is no communication channel for notifying the VA of conflict
311361 - between Pharmacy showing no refills and the doctor having ordered
311362 - continuing the prescription for Omeprazole.
311364 - ..
311365 - At this time, cannot order refill, and so will reduce Omeprazole to 1
311366 - pill per day until sufficient supply is provided to perform on the
311367 - doctor's order to take 2 pills.
311368 -
311369 - [On 120928 1052 suffered stomach disorder; tried increasing
311370 - Omperazole, which reduces time for VA to resolve
311371 - communication channel and delivery of medication refill.
311372 - ref SDS 72 Y95G
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3114 -