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 14, 2015 05:58 AM Saturday; Rod Welch

VA Ezetimibe ordered refill.

1...Summary/Objective
2...Ezetimibe Ordered Recover Hyperlipidemia


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CONTACTS 

SUBJECTS
VA Pharmacy Ezetimibe Prescription RX # 5693296 Order Refill Treat C                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
4403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
4403 -    ..
4404 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
4405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
440501 - Follow up ref SDS B6 0000. ref SDS B3 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
440502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
440503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
440504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
440505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
440506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
440508 -  ..
4406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
4407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
4408 - Background                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
4409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
440901 - EGD on 101210, seems to show progress recovering from esophagitis; the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
440902 - doctor dilated the LESV from 11 to 14 cm, reported on 101210 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
440903 - ref SDS 49 XG6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
440905 -  ..
440906 - Follow up EGD planned for February, ref SDS 49 L94L.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
440908 -  ..
440909 - Doctor Lee prescribed doubling dose of Omeprazole to increse recover                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
440910 - from esophagitis, reported on 101210 0930. ref SDS 49 ZN4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
440912 -  ..
440913 - On 101216 appears Doctor Lee ordered refill for omeprazole. ref SDS 51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
440914 - 8785                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
440916 -  ..
440917 - On 110320 0750 ordered refill Omeprazole to treat Achalasia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
440918 - ref SDS 58 5N3O,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
440920 -  ..
440921 - On 110626 0721 ordered refill Omeprazole to treat Achalasia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
440922 - ref SDS 62 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
440924 -  ..
440925 - On 110913 2238 ordered refill Omeprazole to treat Achalasia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
440926 - ref SDS 63 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
440928 -  ..
440929 - On 120326 1549 ordered refill Omeprazole to treat Achalasia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
440930 - ref SDS 70 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
440932 -  ..
440933 - On 120330 1439 received refill Omeprazole to treat Achalasia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
440934 - ref SDS 71 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
440936 -  ..
440937 - On 120906 1100 Doctor Egan reduced dose Omeprazole 20 mg from 40 mg,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
440938 - which increased effective treatments with current prescription.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
440939 - ref SDS 74 W165                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
440941 -  ..
440942 - On 120925 1300 Doctor Lee increased dose Omeprazole 40 mg from 20 mg,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
440943 - which decreases effective treatments under current prescription.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
440944 - ref SDS 75 K37G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
440946 -  ..
440947 - On 120927 1214 could not order refill prescription for Omeprazole.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
440948 - ref SDS 76 3Z4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
440950 -  ..
440951 - On 121001 0820 VA ordered new prescription Omeprazole with 3 remaining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
440952 - refills, ref SDS 78 5N3O, VA also ordered Fluconazole 200 mg, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
440953 - not explained in the record, ref SDS 78 EO5H, and further which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
440954 - increases side effects for Rosuvastatin, ref SDS 78 0450, but on plus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
440955 - side Fluconazole resolves electrolytes abnormalites, in this case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
440956 - Total Bilirubin is nearly 100% over healthy range, causing peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
440957 - neuropathy. ref SDS 78 ZH6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
440959 -  ..
440960 - On 121003 1438 received in the mail Omeprazole with incorrect dose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
440961 - prescription. ref SDS 79 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
440963 -  ..
440964 - On 121003 1438 received in the mail RX # 10864663B which conflicts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
440965 - with RX #10864663A, ref SDS 78 5N3O and dose instructions to take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
440966 - pills twice a day, ref SDS 78 MH65, conflict with the doctor's order                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
440967 - to take 1 pill twice per day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
440969 -  ..
440970 - On 130416 1100 Doctor Lee reported the VA placed hold that prevented                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
440971 - patient from ordering any of 3 refills of Omeprazole; the doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
440972 - cancelled the prior order and placed new order for current                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
440973 - prescription with 3 refills of Omeprazole. 130416 1100, ref SDS 81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
440974 - RG9K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
440976 -  ..
440977 - On 130423 1140 received refill for Omeprazole. ref SDS 83 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
440979 -  ..
440980 - On 131115 0800 meeting Doctor Lee EGD Dilation, continued prescription                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
440981 - for Omeprazole to aid digestion. ref SDS 86 R74M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
440983 -  ..
440984 - On 131121 1604 ordered refill for Omeprazole. ref SDS 88 AG9I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
440986 -  ..
440987 - On 131205 1448 received prescription for Atorvastatin 20 MG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
440988 - ref SDS 91 5N3O, ordered by Doctor Alba during the meeting at the VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
440989 - on 131121 0930. ref SDS 87 6H6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
440991 -  ..
440992 - On 131219 0930 Doctor Alba ordered Ezetimibe 10 mg to take with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
440993 - Atorvastatin 10 mg, during meeting at VA. ref SDS 92 6H6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
440995 -  ..
440996 - On 131230 1450 received Ezetimibe from VA to combine with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
440997 - Atorvastatin. ref SDS 93 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
440999 -  ..
441000 - On 140127 1821 ordered refill Ezetimibe from VA. ref SDS 94 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
441002 -  ..
441003 - On 140201 1353 received refill Ezetimibe from VA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
441005 -  ..
441006 - On 140226 2035 ordered refill Atorvastatin and Ezetimibe from VA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
441007 - ref SDS 97 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
441009 -  ..
441010 - On 140311 1730 received prescription refill for Atorvastatin and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
441011 - Ezetimibe, delivered by neighbor because mailman delivered to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
441012 - wrong mailbox; treatment resumed. ref SDS A3 YS4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
441014 -  ..
441015 - On 140401 0734 ordered from VA refill Ezetimibe and Omeprazole.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
441016 - ref SDS A4 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
441018 -  ..
441019 - On 140430 0315 ordered refills for Atorvastatin and Ezetimibe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
441020 - ref SDS A6 4P5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
441022 -  ..
441023 - On 140503 1515 received refills for Atorvastatin and Ezetimibe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
441024 - ref SDS A7 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
441026 -  ..
441027 - On 140905 1722 ordered refill for Ezetimibe have 5 pills. ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
441028 - 4P5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
441030 -  ..
441031 - On 141207 0932 VA Medical Center in San Francisco shows no refills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
441032 - available for Ezetimibe. ref SDS B3 4P5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
441034 -  ..
441035 - On 141207 0932 notified Doctor Rao at VA Medical Center in San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
441036 - Francisco that VA request to restore blood chemestry to former healthy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
441037 - condition has been accomplished shown by Labcorp (Liposcience) lab on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
441038 - 141201 reporting LDL-P 956. ref SDS B3 WM6I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
441040 -  ..
441041 - On 141216 0825 letter to VA asks again about ordering refill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
441042 - Ezetabibe, and advised that on 141210 ran out of this prescription, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
441043 - stopped taking both Atorvastatin and Ezetabime. ref SDS B4 L246                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
441044 - Doctor Rao called later that day at 1403 and left voice mail message                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
441045 - that notified she ordered refill for Ezetabime. ref SDS B4 PA8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
441047 -  ..
441048 - On 141218 0359 letter notifies Doctor Rao that VA computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
441049 - prescription refill ordering system for medication shows that the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
441050 - doctor's order for Ezetimibe was filled on 141217. ref SDS B5 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
441052 -  ..
441053 - On 150104 2213 VA refilled prescription for Atorvastatin. ref SDS B6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
441054 - 4P5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
441055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
441056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
441057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
441059 -  ..
4411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
4412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
4413 - Progress, ref SDS A8 4P5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
4414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
441401 - Ezetimibe Ordered Recover Hyperlipidemia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
441402 - 
441403 - Follow up ref SDS B6 5N3O, ref SDS B3 5N3O.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
441404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
441405 - Side effects Atorvastatin are listed on 130603 0930. ref SDS 84 PC6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
441407 -  ..
441408 - Side effects Ezetimibe are listed on 131125 0005. ref SDS 89 YA7F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
441410 -  ..
441411 - VA prescription refill website is at...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
441412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
441413 -              https://www.myhealth.va.gov/mhv-portal-web/anonymous.portal?_nfpb=true&_nfto=false&_pageLabel=mhvHome                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
441415 -  ..
441416 - Customer....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
441421 -  ..
441422 - On 131230 began taking Atorvastatin 10 mg with Ezetimibe 10 mg to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
441423 - manage cholesterol, shown in case study on medication, diet, exercise                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
441424 - and vitals on 120101 0900. ref SDS 66 6A6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
441426 -  ..
441427 - On 141218 0359 letter notifies Doctor Rao that VA computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
441428 - prescription refill ordering system for medication shows that the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
441429 - doctor's order for Ezetimibe was filled on 141217. ref SDS B5 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
441431 -  ..
441432 - On 150104 2213 VA refilled prescription for Atorvastatin. ref SDS B6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
441433 - 4P5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
441435 -  ..
441436 - Today, need refill for Ezetamibe, because have 10 pills remaining from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
441437 - refill received on 141218 0359. ref SDS B5 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
441439 -  ..
441440 - VA's pharmacy website today lists...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
441441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
441442 -                Refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
441443 -                Submit   Fill     Refills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
441444 -                Date     Date     Remaining   Prescription                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
441446 -         ..
441447 -        Active  150105  150105       1        RX # 5786152                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
441448 -                                              Atorvastatin Calcium 20 MG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
441450 -         ..
441451 -        Submit          141217       3        RX # 5787670A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
441452 -                                              Ezetimibe 10 MG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
441454 -         ..
441455 -        Active  150120  150120       1        RX # 24515139                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
441456 -                                              Omeprazole 20 MG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
441458 -  ..
441459 - Placed online order for refill of Ezetabime.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
441460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
441461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
441462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
441463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
441464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
441465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
441466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
441467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
441468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
441469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
441470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
441471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
441472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
441473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
4415 -