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..................
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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 -