THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rod@welchco.com
S U M M A R Y
DIARY: October 4, 2012 03:29 PM Thursday;
Rod Welch
Fluconazole received from VA to treat esophagitis candidias infection.
1...Summary/Objective
2...Fluconazole Medication Prescription Recover Esophageal Infection Candidias
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CONTACTS
SUBJECTS
VA Pharmacy Receive Fluconazole 200 mg RX # 24199285 Treat Esophagea
2603 -
2603 - ..
2604 - Summary/Objective
2605 -
260501 - Follow up ref SDS 77 0000. ref SDS 76 0000.
260502 -
260503 -
260504 -
260505 -
260506 -
260508 - ..
2606 -
2607 -
2608 - Background
2609 -
260901 - EGD on 101210, seems to show progress recovering from esophagitis; the
260902 - doctor dilated the LESV from 11 to 14 cm, reported on 101210 0930,
260903 - ref SDS 49 XG6J
260905 - ..
260906 - Follow up EGD planned for February, ref SDS 49 L94L.
260908 - ..
260909 - Doctor Lee prescribed doubling dose of Omeprazole to increse recover
260910 - from esophagitis, reported on 101210 0930. ref SDS 49 ZN4M
260912 - ..
260913 - On 101216 appears Doctor Lee ordered refill for omeprazole. ref SDS 51
260914 - 8785
260916 - ..
260917 - On 110320 0750 ordered refill Omeprazole to treat Achalasia,
260918 - ref SDS 58 5N3O,
260920 - ..
260921 - On 110626 0721 ordered refill Omeprazole to treat Achalasia.
260922 - ref SDS 62 5N3O
260924 - ..
260925 - On 110913 2238 ordered refill Omeprazole to treat Achalasia,
260926 - ref SDS 63 5N3O
260928 - ..
260929 - On 120326 1549 ordered refill Omeprazole to treat Achalasia,
260930 - ref SDS 68 5N3O
260932 - ..
260933 - On 120330 1439 received refill Omeprazole to treat Achalasia.
260934 - ref SDS 69 5N3O
260936 - ..
260937 - On 120906 1100 Doctor Egan reduced dose Omeprazole 20 mg from 40 mg,
260938 - which increased effective treatments with current prescription.
260939 - ref SDS 72 W165
260941 - ..
260942 - On 120925 1300 Doctor Lee increased dose Omeprazole 40 mg from 20 mg,
260943 - which decreases effective treatments under current prescription.
260944 - ref SDS 73 K37G
260946 - ..
260947 - On 120927 1214 could not order refill prescription for Omeprazole.
260948 - ref SDS 74 3Z4M
260950 - ..
260951 - On 121001 0820 VA ordered new prescription Omeprazole with 3 remaining
260952 - refills, ref SDS 76 5N3O, VA also ordered Fluconazole 200 mg, which is
260953 - not explained in the record, ref SDS 76 EO5H, and further which
260954 - increases side effects for Rosuvastatin, ref SDS 76 0450, but on plus
260955 - side Fluconazole resolves electrolytes abnormalites, in this case
260956 - Total Bilirubin is nearly 100% over healthy range, causing peripheral
260957 - neuropathy. ref SDS 76 ZH6J
260959 - ..
260960 - On 121003 1438 received in the mail Omeprazole with incorrect dose
260961 - prescription. ref SDS 77 5N3O
260962 -
260963 -
260964 -
260965 -
260967 - ..
2610 -
2611 -
2612 - Progress
2613 -
261301 - Fluconazole Medication Prescription Recover Esophageal Infection Candidias
261302 -
261303 - Follow up ref SDS 77 5N3O, ref SDS 76 5N3O.
261304 -
261305 - Received in the mail today prescription reported in the record
261306 - reviewing VA Pharmacy on 121001 0820. ref SDS 76 NI3L
261307 -
261308 - 1. Sacramento VA Center 119
261309 - Mather, CA 96566
261310 - 866 600 8279
261311 -
261312 - ..12A4
261313 - Provider........................Lee, Randle E
261315 - ..
261316 - RX # 24199285
261318 - ..
261319 - Date............................ SEP 29 2012
261321 - ..
261322 - Take 2 tablets by mouth once daily for 1 day, then take 1
261323 - tablet once daily for 20 days for esophageous infection.
261325 - ..
261326 - 9219/3110751
261328 - ..
261329 - Discard after................... 10/01/2013
261331 - ..
261332 - Quantity........................ 22
261334 - ..
261335 - Refill 3x....................... 09/29/2013
261337 - ..
261338 - Fill 1 of 1
261340 - ..
261341 - Fluconazole 200 mg tablets
261343 - ..
261344 - Began treatment today, as shown in case study on 101010 0744.
261345 - ref SDS 46 1W9L
261346 -
261347 - [On 121016 1302 Fluconazole may be causing voice disorder
261348 - reported in meeting at VA with CJ and Doctor Stewart,
261349 - ref SDS 78 AE7K, to review swallowing issue, planned to be
261350 - resolved with Heller Myotomy surgery, reported originally
261351 - on 091030. ref SDS 15 P69G
261353 - ..
261354 - [On 121024 complete treatment with Fluconazole for Candida
261355 - esophageal infection, shown in case study on 101010 0744
261356 - follow up, ref SDS 46 QQ7K
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2614 -