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: March 10, 2014 09:39 AM Monday;
Rod Welch
VA letter Progress Notes meeting on 13Feb2014 available VA system email.
1...Summary/Objective
2...Progress Notes Meeting 140213 Transmitted VA System Email
3...VA System Email Transmitted Progress Notes Meeting 140213
4...Email Send Medical Records Waive HIPAA Restrictions
5...Waive HIPAA Restrictions Sending Medical Records Public Domain Email
6...Public Domain Email Waive HIPAA Restrictions Sending Medical Records
7...Medical Records Transmit Public Domain Email Waive HIPAA Restrictions
8...Sickness Relapse Possible Side Effects Atorvastatin Ezetimibe
9...Atorvastatin Ezetimibe Prescription Delayed 1 Week Cancel and Reorder
10...CT Evaluate Regression Atherosclerosis Plaque CVD 4 Years After CABG
..............
Click here to comment!
CONTACTS
SUBJECTS
VA Pharmacy Ezetimibe Order Refill Treat Cholesterol LDL 249 Prescri
5703 -
5703 - ..
5704 - Summary/Objective
5705 -
570501 - Follow up ref SDS A3 0000. ref SDS A2 0000.
570502 -
570503 -
570504 -
570506 - ..
5706 -
5707 -
5708 - Background
5709 -
570901 - EGD on 101210, seems to show progress recovering from esophagitis; the
570902 - doctor dilated the LESV from 11 to 14 cm, reported on 101210 0930,
570903 - ref SDS 49 XG6J
570905 - ..
570906 - Follow up EGD planned for February, ref SDS 49 L94L.
570908 - ..
570909 - Doctor Lee prescribed doubling dose of Omeprazole to increse recover
570910 - from esophagitis, reported on 101210 0930. ref SDS 49 ZN4M
570912 - ..
570913 - On 101216 appears Doctor Lee ordered refill for omeprazole. ref SDS 51
570914 - 8785
570916 - ..
570917 - On 110320 0750 ordered refill Omeprazole to treat Achalasia,
570918 - ref SDS 58 5N3O,
570920 - ..
570921 - On 110626 0721 ordered refill Omeprazole to treat Achalasia.
570922 - ref SDS 62 5N3O
570924 - ..
570925 - On 110913 2238 ordered refill Omeprazole to treat Achalasia,
570926 - ref SDS 63 5N3O
570928 - ..
570929 - On 120326 1549 ordered refill Omeprazole to treat Achalasia,
570930 - ref SDS 70 5N3O
570932 - ..
570933 - On 120330 1439 received refill Omeprazole to treat Achalasia.
570934 - ref SDS 71 5N3O
570936 - ..
570937 - On 120906 1100 Doctor Egan reduced dose Omeprazole 20 mg from 40 mg,
570938 - which increased effective treatments with current prescription.
570939 - ref SDS 74 W165
570941 - ..
570942 - On 120925 1300 Doctor Lee increased dose Omeprazole 40 mg from 20 mg,
570943 - which decreases effective treatments under current prescription.
570944 - ref SDS 75 K37G
570946 - ..
570947 - On 120927 1214 could not order refill prescription for Omeprazole.
570948 - ref SDS 76 3Z4M
570950 - ..
570951 - On 121001 0820 VA ordered new prescription Omeprazole with 3 remaining
570952 - refills, ref SDS 78 5N3O, VA also ordered Fluconazole 200 mg, which is
570953 - not explained in the record, ref SDS 78 EO5H, and further which
570954 - increases side effects for Rosuvastatin, ref SDS 78 0450, but on plus
570955 - side Fluconazole resolves electrolytes abnormalites, in this case
570956 - Total Bilirubin is nearly 100% over healthy range, causing peripheral
570957 - neuropathy. ref SDS 78 ZH6J
570959 - ..
570960 - On 121003 1438 received in the mail Omeprazole with incorrect dose
570961 - prescription. ref SDS 79 5N3O
570963 - ..
570964 - On 121003 1438 received in the mail RX # 10864663B which conflicts
570965 - with RX #10864663A, ref SDS 78 5N3O and dose instructions to take 2
570966 - pills twice a day, ref SDS 78 MH65, conflict with the doctor's order
570967 - to take 1 pill twice per day.
570969 - ..
570970 - On 130416 1100 Doctor Lee reported the VA placed hold that prevented
570971 - patient from ordering any of 3 refills of Omeprazole; the doctor
570972 - cancelled the prior order and placed new order for current
570973 - prescription with 3 refills of Omeprazole. ref SDS 82 RG9K
570975 - ..
570976 - On 130423 1140 received refill for Omeprazole. ref SDS 84 5N3O
570978 - ..
570979 - On 131115 0800 meeting Doctor Lee EGD Dilation, continued prescription
570980 - for Omeprazole to aid digestion. ref SDS 87 R74M
570982 - ..
570983 - On 131121 1604 ordered refill for Omeprazole. ref SDS 89 AG9I
570985 - ..
570986 - On 131205 1448 received prescription for Atorvastatin 20 MG,
570987 - ref SDS 92 5N3O, ordered by Doctor Alba during the meeting at the VA
570988 - on 131121 0930. ref SDS 88 6H6K
570990 - ..
570991 - On 131219 0930 Doctor Alba ordered Ezetimibe 10 mg to take with
570992 - Atorvastatin 10 mg, during meeting at VA. ref SDS 93 6H6K
570994 - ..
570995 - On 131230 1450 received Ezetimibe from VA to combine with
570996 - Atorvastatin. ref SDS 94 5N3O
570998 - ..
570999 - On 140127 1821 ordered refill Ezetimibe from VA. ref SDS 95 5N3O
571001 - ..
571002 - On 140201 1353 received refill Ezetimibe from VA.
571004 - ..
571005 - On 140226 2035 only have 4 pills for Atorvastatin and Ezetimibe, so
571006 - ordered refills. ref SDS 99 4P5M
571007 -
571008 -
571009 -
571010 -
571012 - ..
5711 -
5712 -
5713 - Progress
5714 -
571401 - Progress Notes Meeting 140213 Transmitted VA System Email
571402 - VA System Email Transmitted Progress Notes Meeting 140213
571403 -
571404 - Follow up ref SDS A3 5N3O, ref SDS A2 4V4H.
571405 -
571406 - Received letter this morning from the VA saying...
571407 -
571408 - 1. Subject: Re: Progress Notes Meeting 13 Feb 2014, Thanks
571409 - Date: 2014-03-10 09:02
571416 - ..
571417 - 2. I just sent you the note again using the VA email. If you don't
571418 - receive it, please let me know and I'll send it to you using
571419 - this account.
571421 - ..
571422 - VA responds to the letter discussing transmission of Progress Notes,
571423 - shown on 140308 0956, ref SDS A3 4I6G, for the meeting on 140213,
571424 - which requested assistance getting "set up" for VA system email, or
571425 - alternatively, transmitting with public domain email, reported on
571426 - 140307 1509. ref SDS A2 HW9I
571427 -
571428 -
571430 - ..
5715 -
5716 -
5717 - 1018
5718 -
571801 - Sent letter to VA saying...
571802 -
571803 -
571804 - 1. Subject: Progress Notes, Re-order Prescriptions, CT Evaluate Regression Atherosclerosis Plaque
571805 - Date: 2014-03-10 10:35
571812 - ..
571813 - 2. Have still not received your VA system email transmission, sent
571814 - this morning at 0902, shown above. ref SDS 0 5N3O
571815 -
571817 - ..
571818 - Email Send Medical Records Waive HIPAA Restrictions
571819 - Waive HIPAA Restrictions Sending Medical Records Public Domain Email
571820 - Public Domain Email Waive HIPAA Restrictions Sending Medical Records
571821 - Medical Records Transmit Public Domain Email Waive HIPAA Restrictions
571822 -
571823 - Follow up ref SDS A3 II80.
571824 -
571825 - Letter to VA continues...
571827 - ..
571828 - 3. Please transmit Progress Notes with email account. I don't
571829 - mind driving over to the VA today and getting the Progress
571830 - Notes on a CD, if that is easier for you.
571832 - ..
571833 - Respond to VA letter earlier this morning requesting notice, if
571834 - Progress Notes have not been received following transmission using "VA
571835 - system email," per above. ref SDS 0 5N3O
571836 -
571837 -
571838 -
5719 -
SUBJECTS
Default Null Subject Account for Blank Record
5803 -
580401 - ..
580402 - Sickness Relapse Possible Side Effects Atorvastatin Ezetimibe
580403 -
580404 -
580405 - Letter to VA continues...
580406 -
580407 - 4. Have been sick (relapse) with mild symptoms the past 5 days.
580408 - Mostly feel weak, sore throat in the morning, and voice/hearing
580409 - slightly amiss. Eyes seem heavy or something, hard to describe
580410 - - vision is okay. Since last treatment with Atorvastatin and
580411 - Ezetimibe was on 140302, may weaken the case that side effects
580412 - are driving current maladies.
580414 - ..
580415 - 5. Have not gone out hiking since last Tuesday - probably needed
580416 - time off anyway. Of course weight has trended higher. Will
580417 - start hiking today, and get back into the exercise, diet,
580418 - weight loss thing.
580419 -
580420 -
5805 -
SUBJECTS
Default Null Subject Account for Blank Record
5903 -
590401 - ..
590402 - Atorvastatin Ezetimibe Prescription Delayed 1 Week Cancel and Reorder
590403 -
590404 - Follow up ref SDS A3 IE7I, ref SDS A2 5N3O.
590405 -
590406 - 6. Previously, when delay occurred getting Omeprazole, Doctor Lee
590407 - in EGD, Sacramento VA at Mather, cancelled the current
590408 - prescription and entered a new one, reported on 130416 (see
590409 - line 451701. ref SDS 82 RG9K
590411 - ..
590412 - 7. Maybe that is the solution in this case to continue
590413 - prescriptions for Atorvastatin and Ezetimibe.
590414 -
590415 -
5905 -
SUBJECTS
Default Null Subject Account for Blank Record
6003 -
600401 - ..
600402 - CT Evaluate Regression Atherosclerosis Plaque CVD 4 Years After CABG
600403 -
600404 - Follow up ref SDS A1 WY3X, ref SDS 98 JR99.
600405 -
600406 - 8. Notice as well in the same record, report of CT test showing
600407 - resolution on 130122, of long-standing achalasia swallowing
600408 - problem about 4 years after Heller Myotomy surgery on 091216,
600409 - and referencing meeting at VA in San Francisco with Doctor
600410 - Stewart, Chief General Surgery (see line 380502. ref SDS 80
600411 - 03H6
600413 - ..
600414 - 9. Would be helpful to get similar resolution of atherosclerosis
600415 - plaque, now nearing 5 years after CABG +4, discussed during our
600416 - meeting on 140213 (see para 8 line 430402. ref SDS 97 JZ4O
600417 -
600423 -
600424 -
600425 -
600426 -
600427 -
600428 -
600429 -
600430 -
600431 -
600432 -
600433 -
600434 -
600435 -
600436 -
600437 -
6005 -