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VA Prescribe Atorvastatin 10 MG Trial 4 Weeks Evaluate Side Effects In 48
Insurance Liberty Mutual Agent Regenia Jalbert Claim #032392649 Kath
VA Agenda Submit Meeting 150729 Examination Side Effects Extended En
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0505 - ..
0506 - Summary/Objective
0507 -
050701 - Follow up ref SDS B1 0000. ref SDS A7 0000.
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050707 - ..
0508 -
0509 - Progress
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051101 - Agenda Meeting 150729 Examine Feet Dehydration Injuries Medication Side Effects
051102 -
051103 - Follow up ref SDS B1 VY6H, ref SDS A7 HY6O.
051104 -
051105 - Sent letter to Doctor Rao saying...
051106 -
051107 - 1. Subject: Re: Lab order for Meeting Jul 29 0830
051108 - Date: 2015-07-28 23:17
051115 - ..
051116 - 2. Thanks for ordering a complete lab, requested in the letter on
051117 - 150720. Decided not to order NMR lipids this cycle, because
051118 - injuries prevented doubling out the past 4 days, planned to get
051119 - the lab numbers in line. Did a double last Thursday, then had
051120 - to stand down until yesterday. That lap was difficult due to
051121 - heat and pain level 7-8 the last 4 miles. [...shown in case
051122 - study on 140101 0600, reporting on 150723. ref SDS 63 8T7M...]
051124 - ..
051125 - 3. Earlier today, talked to Doctor Tang from Podiatry in the lunch
051126 - line at the cafeteria. Explained recurring side effects that
051127 - have made maintaining treatment difficult for several weeks.
051128 - He requested a letter setting out scope of injuries. Tomorrow,
051129 - would like Medical Practice to examine the feet and report in
051130 - Progress Notes current status.
051131 -
051132 - [On 150729 0800 Doctor Rao examined both feet and observed
051133 - crackig, peeling, bleeding due to dehydration from frequent
051134 - urination caused by taking statin drugs. ref SDS B3 TA8L
051136 - ..
051137 - 4. On the plus side have ordered 6 pair of new Hoka shoes keep the
051138 - feet from sliding side to side that causes and compounds
051139 - injuries. Doctor Tang mentioned that hiking 2200 miles with 4
051140 - pair of Hokas is about the limit, so it is time for
051141 - replacement. You can get a sense of the problem reviewing
051142 - patient history in case study on 140101, glancing through a few
051143 - reports. ref SDS 63 HN5N
051145 - ..
051146 - 5. Also attached is an updated spreadsheet summarizing treatment
051147 - with endurance exercise correlated to lab results.
051148 -
051149 - F:\05\00003\SM\CC\BNKG\120216cc\130101cc\hiking_miles_3.xlsx
051151 - ..
051152 - 6. As you can see, despite reduced treatment due to side effects,
051153 - the medical team has done outstanding work yielding one of the
051154 - best labs in patient history with TG 54 and HDL 65. Remain
051155 - committed to increase HDL above 70 and reduce LDL-P below 700
051156 - with resolution of side effects so treatment can increase.
051158 - ..
051159 - 7. Look forward to hearing your ideas during the meeting tomorrow
051160 - on CCTA testing for tolerance to increase PPI rather than
051161 - undergo surgery to correct fundoplication, discussed with
051162 - Doctor Stewart in General Surgery on 150623, cited in the
051163 - letter on 150720. ref SDS B1 FM4Q
051164 -
051165 - [On 150729 0800 Doctor Rao reluctant to order CCTA, because
051166 - Doctor Stewart's Progress Notes supporting CCTA in this
051167 - case, and referring the matter to Primary, does not give
051168 - reasons for ordering this testing regimen. ref SDS B2 TA91
051170 - ..
051171 - 8. Next step is recovery then Half Dome on 150916, with the Rim
051172 - Trail and Mt Diablo hikes to train up.
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