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: June 18, 2015 06:47 PM Thursday; Rod Welch

VA Omeprazole ordered prescription refill.

1...Summary/Objective
2...Omeprazole Order Refill Treat Achalasia Resolve Rising Vomitting

ACTION ITEMS.................. Click here to comment!

1...System will not enable ordering refill for Omeprazole, and for some
2...Atorvastatin prescription has not been renewed.

CONTACTS 

SUBJECTS
VA Pharmacy Omeprazole Refill Order Fill Date Scheduled 140527 Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
3303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3303 -    ..
3304 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
3305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
330501 - Follow up ref SDS B7 0000. ref SDS B5 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
330502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
330503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
330504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
330505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
330507 -  ..
3306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3308 - Background                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
3309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
330901 - EGD on 101210, seems to show progress recovering from esophagitis; the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
330902 - doctor dilated the LESV from 11 to 14 cm, reported on 101210 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
330903 - ref SDS 49 XG6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
330905 -  ..
330906 - Follow up EGD planned for February, ref SDS 49 L94L.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
330908 -  ..
330909 - Doctor Lee prescribed doubling dose of Omeprazole to increse recover                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
330910 - from esophagitis, reported on 101210 0930. ref SDS 49 ZN4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
330912 -  ..
330913 - On 101216 appears Doctor Lee ordered refill for omeprazole. ref SDS 51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
330914 - 8785                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
330916 -  ..
330917 - On 110320 0750 ordered refill Omeprazole to treat Achalasia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
330918 - ref SDS 58 5N3O,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
330920 -  ..
330921 - On 110626 0721 ordered refill Omeprazole to treat Achalasia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
330922 - ref SDS 62 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
330924 -  ..
330925 - On 110913 2238 ordered refill Omeprazole to treat Achalasia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
330926 - ref SDS 63 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
330928 -  ..
330929 - On 120326 1549 ordered refill Omeprazole to treat Achalasia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
330930 - ref SDS 70 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
330932 -  ..
330933 - On 120330 1439 received refill Omeprazole to treat Achalasia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
330934 - ref SDS 71 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
330936 -  ..
330937 - On 120906 1100 Doctor Egan reduced dose Omeprazole 20 mg from 40 mg,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
330938 - which increased effective treatments with current prescription.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
330939 - ref SDS 74 W165                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
330941 -  ..
330942 - On 120925 1300 Doctor Lee increased dose Omeprazole 40 mg from 20 mg,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
330943 - which decreases effective treatments under current prescription.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
330944 - ref SDS 75 K37G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
330946 -  ..
330947 - On 120927 1214 could not order refill prescription for Omeprazole.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
330948 - ref SDS 76 3Z4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
330950 -  ..
330951 - On 121001 0820 VA ordered new prescription Omeprazole with 3 remaining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
330952 - refills, ref SDS 78 5N3O, VA also ordered Fluconazole 200 mg, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
330953 - not explained in the record, ref SDS 78 EO5H, and further which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
330954 - increases side effects for Rosuvastatin, ref SDS 78 0450, but on plus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
330955 - side Fluconazole resolves electrolytes abnormalites, in this case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
330956 - Total Bilirubin is nearly 100% over healthy range, causing peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
330957 - neuropathy. ref SDS 78 ZH6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
330959 -  ..
330960 - On 121003 1438 received in the mail Omeprazole with incorrect dose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
330961 - prescription. ref SDS 79 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
330963 -  ..
330964 - On 121003 1438 received in the mail RX # 10864663B which conflicts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
330965 - with RX #10864663A, ref SDS 78 5N3O and dose instructions to take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
330966 - pills twice a day, ref SDS 78 MH65, conflict with the doctor's order                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
330967 - to take 1 pill twice per day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
330969 -  ..
330970 - On 130416 1100 Doctor Lee reported the VA placed hold that prevented                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
330971 - patient from ordering any of 3 refills of Omeprazole; the doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
330972 - cancelled the prior order and placed new order for current                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
330973 - prescription with 3 refills of Omeprazole. 130416 1100, ref SDS 81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
330974 - RG9K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
330976 -  ..
330977 - On 130423 1140 received refill for Omeprazole. ref SDS 83 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
330979 -  ..
330980 - On 131115 0800 meeting Doctor Lee EGD Dilation, continued prescription                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
330981 - for Omeprazole to aid digestion. ref SDS 86 R74M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
330983 -  ..
330984 - On 131121 1604 ordered refill for Omeprazole. ref SDS 88 AG9I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
330986 -  ..
330987 - On 131205 1448 received prescription for Atorvastatin 20 MG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
330988 - ref SDS 91 5N3O, ordered by Doctor Alba during the meeting at the VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
330989 - on 131121 0930. ref SDS 87 6H6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
330991 -  ..
330992 - On 131219 0930 Doctor Alba ordered Ezetimibe 10 mg to take with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
330993 - Atorvastatin 10 mg, during meeting at VA. ref SDS 92 6H6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
330995 -  ..
330996 - On 131230 1450 received Ezetimibe from VA to combine with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
330997 - Atorvastatin. ref SDS 93 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
330999 -  ..
331000 - On 140127 1821 ordered refill Ezetimibe from VA. ref SDS 94 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
331002 -  ..
331003 - On 140201 1353 received refill Ezetimibe from VA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
331005 -  ..
331006 - On 140226 2035 ordered refill Atorvastatin and Ezetimibe from VA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
331007 - ref SDS 97 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
331009 -  ..
331010 - On 140311 1730 received prescription refill for Atorvastatin and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
331011 - Ezetimibe, delivered by neighbor because mailman delivered to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
331012 - wrong mailbox; treatment resumed. ref SDS A3 YS4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
331014 -  ..
331015 - On 140401 0734 ordered refill Ezetimibe from VA. ref SDS A4 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
331017 -  ..
331018 - On 140404 1328 received refill for Ezetimibe, ref SDS A5 5N3O and for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
331019 - Omeprazole. ref SDS A5 ZZ9M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
331021 -  ..
331022 - On 140715 1614 have 8 days supply of Omeprazole at current                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
331023 - prescription taking 2 pills per day, so need to order refill in time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
331024 - to receive Omeprazole before running out of pills.  Opened VA Pharmacy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
331025 - online medication refill system. ref SDS A7 5N3O  VA system shows 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
331026 - refills for Omeprazole, 3 for Atorvastatin and 1 for Ezetimibe.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
331027 - system reports "Refill in Process" with fill date of 140725 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
331028 - Omeprazole. ref SDS A7 4O6H  If refill is mailed to customer on 140725,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
331029 - then it may be received OA 140730. ref SDS A7 HX5O  Since there is no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
331030 - evident procedure to update the VA processing schedule to fill the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
331031 - prescription, will take 1 pill per day until refill is received.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
331032 - ref SDS A7 IP6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
331034 -  ..
331035 - On 140802 1821 received refill for Omeprazole prescription,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
331036 - ref SDS A8 4V7O; may have been delivered by Post Office to wrong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
331037 - address, or some other admin error; can resume taking 2 pills per day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
331038 - ref SDS A8 HO4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
331040 -  ..
331041 - On 141031 2025 ordered refill for Omeprazole. ref SDS B0 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
331043 -  ..
331044 - On 141106 1226 received refill Omeprazole. ref SDS B1 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
331046 -  ..
331047 - On 141001 1620 ordered refill for Atorvastatin with about 10 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
331048 - remaining. ref SDS A9 726F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
331050 -  ..
331051 - On 141207 2132 tried to order refill for Ezetamibe, but 0 refills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
331052 - available using VA online computer system. ref SDS B2 4P5M   Letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
331053 - Doctor Rao at VA Medical Center in San Francisco requested assistance.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
331054 - ref SDS B2 3O68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
331056 -  ..
331057 - On 150119 2159 ordered refill for Omeprazole. ref SDS B3 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
331059 -  ..
331060 - On 150126 1547 received refill Omeprazole medication ordered on 150119                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
331061 - from VA. ref SDS B4 HX6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
331063 -  ..
331064 - On 150412 1600 ordered refill for Omeprazole. ref SDS B5 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
331066 -  ..
331067 - On 150417 1339 received Omeprazole prescription refill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
331068 - ref SDS B7 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
331069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
331070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
331071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
331072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
331073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
331075 -  ..
3311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3313 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
331401 - Omeprazole Order Refill Treat Achalasia Resolve Rising Vomitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
331402 - 
331403 - Follow up ref SDS B7 5N3O, ref SDS B5 5N3O.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
331404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
331405 - Have 16 Omeprazole pills, from last refill on 150417 1339. ref SDS B6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
331406 - 5N3O  It was received refill on 150412 1600. ref SDS B5 O29M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
331408 -  ..
331409 - That is enough for 8 days treatment taking 2 pills per day                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
331410 - prescribed by Doctor Lee in the meeting on 140509 0900. ref SDS A6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
331411 - P43G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
331413 -  ..
331414 - VA prescription refill website is at...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
331415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
331416 -              https://www.myhealth.va.gov/mhv-portal-web/anonymous.portal?_nfpb=true&_nfto=false&_pageLabel=mhvHome                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
331418 -  ..
331419 - Customer....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
331424 -  ..
331425 - VA's pharmacy website listed today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
331426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
331427 -                Refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
331428 -                Submit   Fill     Refills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
331429 -                Date     Date     Remaining   Prescription                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
331430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
331431 -        Active          141021       2        RX#5886370                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
331432 -                                              UREA 20% CREAM                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
331434 -         ..
331435 -        Active          141021       2        RX#5886371                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
331436 -                                              Ammonium Lactate 12% Lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
331438 -         ..
331439 -  ****  Active  150105  150105       1   ***  RX # 5786152                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
331440 -                                              Atorvastatin Calcium 20 MG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
331442 -         ..
331443 -        Active  150314  150314       2        RX # 5787670A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
331444 -                                              Ezetimibe 10 MG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
331446 -         ..
331447 -        Active       2  150708       3        RX # 24715139                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
331448 -                                              Omeprazole 20 MG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
331450 -  ..
331451 - System will not enable ordering refill for Omeprazole, and for some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
331452 - reason is pre-set for 150708.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
331454 -  ..
331455 - This seems to conflict with Doctor Lee's telephone message earlier                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
331456 - today, indicating the VA has prescribed increasing Omeprazole to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
331457 - recover from failed Dor fundoplication, rather than perform corrective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
331458 - surgery, reported on 150618 1347. ref SDS B8 K37G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
331460 -  ..
331461 - Atorvastatin prescription has not been renewed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
331462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
331463 -            [On 150619 0924 met with Doctor Rao in Clinic #2, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
331464 -            requested order for more refills on Atorvastin; the doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
331465 -            will renew the prescription. ref SDS B9 UE89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
331466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
331467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
331468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
331469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
331470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
331471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
331472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
331473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
3315 -