CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 11 0000, ref SDS 10 0000.
040502 -
040503 - Called SLO Diagnostic Center and arranged to ship CD with files from
040504 - CCTA scan performed at the VA on 151019. ref SDS 0 MS3F
040505 -
040506 -
040507 -
040508 -
040509 -
040510 -
040511 -
040512 -
040514 - ..
0406 -
0407 -
0408 - Background
0409 -
040901 - On 151006 1315 Doctor Stewart requested letter on ordering coronary CT
040902 - angiography (CCTA) test with calcium score, ref SDS 5 8G7K, to
040903 - evaluate regression of atherosclorosis plaques as a result of raising
040904 - HDL 30 at the time of CABG +4 on 091022, 6 years ago, to HDL 70, i.e.,
040905 - 130%, reported in VA lab on 150209 1012. ref SDS 4 U45J
040907 - ..
040908 - On 151014 0900 Doctor Simpson ordered CCTA test with calcium score.
040909 - 151014 0900. ref SDS 6 TA4V
040911 - ..
040912 - On 151019 0930 meeting in Radiologyt for CCTA with calcium score.
040913 - ref SDS 7 NV5I Colin came into the Radiology room and explained the
040914 - VA usually does not perform calcium score for patients who have had
040915 - CABG surgery. ref SDS 7 RF9U There was extended discussion on the
040916 - purpose of CCTA with calcium score to evaluate response to treatment
040917 - hiking 300 miles per month the past few years. ref SDS 7 GR4K
040919 - ..
040920 - On 151019 0930 VA Progress Notes for CCTA say the test was performed
040921 - to enable calcium score, ref SDS 7 KS44; and further that numerical
040922 - calcium score was not reported for post-CABG patient. ref SDS 7 8Q6I
040924 - ..
040925 - On 151028 1000 meeting with Doctor Simpson in Cardiology to discuss
040926 - results of Radiology Department test using CCTA technology.
040927 - ref SDS 9 U27N Doctor Simpson reported meeting with Radiologist for
040928 - joint review of CCTA scan performed on 151019, and at that meeting
040929 - Doctor Simpson pointed to some "grey stuff" he saw on the computer
040930 - monitor screen. He asked if this might be plaque, and he replated
040931 - that the radiologist said that it could be. The Radiology Department
040932 - has not revised the original report finding "all bypass grafts are
040933 - patent." ref SDS 9 5Y8G
040935 - ..
040936 - On 151029 2258 letter to Doctor Stewart asking if she can review the
040937 - radiology file for the CCTA scan to make an independent determination
040938 - of calcium score on atherosclerosis plaques. ref SDS 10 K18M
040940 - ..
040941 - On 151104 1114 while at the VA visited Surgical Services and spoke
040942 - with Doctor Stewart by telephone, following up the letter to the
040943 - Doctor last week on 151029. She referred interpretation of CCTA scan
040944 - file to Cardiology Department. ref SDS 11 ZS4J
040945 -
040946 -
040947 -
040949 - ..
0410 -
0411 -
0412 - Progress
0413 -
041301 - Order 2nd Opinion CCTA Calcium Score Evaluate Regress Atherosclerosis
041302 -
041303 - Medical literature reports calcium score provides significant guidance
041304 - for patients diagnosed with CAD and treated with CABG heart surgery,
041305 - (see VA meeting on 140519 0800, ref SDS 2 OF7N). Since calcium score
041306 - measures response to treatment hiking 10,000 miles the past 4 years
041307 - (300 miles per month) that increased HDL 30 to HDL 70, i.e., 130%,
041308 - thereby enabling regression of atherosclerosis plaques, and since the
041309 - VA did not perform calcium score to evaluate regression of plaques, as
041310 - stated in Radiology Report on 151019 0930, ref SDS 7 8Q6I, therefore
041311 - need 2nd opinion on findings from CT scan file produced by the VA on
041312 - 151019 0930. ref SDS 7 NV5I
041319 - ..
041320 - Called...
041321 -
041322 - San Luis Obispo Diagnostic Center
041323 - ATTN: Caitlin Brown, Medical Records
041324 - 1100 Monterey St Suite #210
041325 - San Luis Obispo, CA 93401
041327 - ..
041328 - Telephone: 805 542 9700
041329 -
041331 - ..
041332 - Talked to Michelle in Scheduling.
041334 - ..
041335 - Explained objective to get 2nd opinion on findings with calcium score
041336 - from existing CCTA scan done at the VA Medical Center in San Francisco
041337 - on 151019. ref SDS 7 TT6L
041339 - ..
041340 - Michelle will investigate and call back with procedures.
041341 -
041342 -
041343 -
041345 - ..
0414 -
0415 -
0416 - 1055
0417 -
041701 - Michelle called back.
041702 -
041703 - She said the cost will be under $200.
041705 - ..
041706 - Ship the CD to SLODC with cover letter.
041708 - ..
041709 - SLODC staff will review and schedule meeting with patient to make
041710 - joint review toward issueing 2nd opinion on CT scan file findings with
041711 - calcium score, and impressions.
041713 - ..
041714 - Will send email to confirm this discussion, and then print the letter
041715 - and include with envelope shipping the CD.
041717 - ..
041718 - Call was transferred to Medical Records for email address.
041719 -
041720 -
041722 - ..
0418 -
0419 -
0420 - 1102
0421 -
042101 - Spoke with Caitlin.
042102 -
042103 - She said to submit the letter to her at...
042104 -
042105 - caitlin.brown@dignityhealth.org
042106 -
042108 - ..
0422 -
0423 -
0424 - 1315
0425 -
042501 - Drove to UPS and shipped CD with cover letter (shown below,
042502 - ref SDS 0 LK5J), and received documentation...
042503 -
042504 - 1. Shipment Receipt
042505 - This is not a mailing label, please save for your records.
042507 - ..
042508 - 2. Ship date............................ 5 November 2015 0133 pm
042510 - ..
042511 - 3. Expected delivery date............... 9 November 2015 EOD
042520 - ..
042521 - 4. Ship To:
042522 - San Luis Obispo Diagnostic Center
042523 - Caitlan Brown, Medical Records
042524 - 1100 Montery Street
042525 - Ste 210
042526 - San Luis Obispo, CA 93401-3102
042527 - Business
042529 - ..
042530 - 5. Shipped Through
042531 - The UPS Store #0854
042532 - Concord, CA 94521 2773
042533 - 925 825 4623
042535 - ..
042536 - 6. Shipment Information:
042537 - UPS Ground Commercial
042538 - 0 LBS 2.3 OZ actual weight
042539 - DIMS: 10.00x8.00x2.00 IN
042541 - ..
042542 - 7. Tracking #.......... 1ZW2119W0353065491
042543 - 8. Shipment ID......... MM6CP8YYD2R00
042545 - ..
042546 - 9. Description of Goods:
042547 - CD
042549 - ..
042550 - 10. Shipment Charges:
042551 - Ground Commercial..................... $8.50
042552 - Service Options....................... 0.00
042553 - Fuel Surcharge........................ 0.45
042554 - CMS Processing Fee.................... 0.20
042556 - ..
042557 - Total................................. $9.15
042558 -
042560 - ..
042561 - Also received from UPS following invoice...
042562 -
042563 - 1. The UPS Store #854
042564 - 4425-C Treat Boulevard
042565 - Concord, CA 94521
042566 - 925 825 4623
042568 - ..
042569 - 2. Date......................... 151105 1330
042571 - ..
042572 - 3. Receipt ID #................. 82867079851122888386
042574 - ..
042575 - 4. Cashier: Niles Quinn
042576 - Transaction.................. 6622
042577 - Register..................... 002
042579 - ..
042580 - 5. We are the one stop for all your shipping, postal and business
042581 - needs.
042583 - ..
042584 - 6. We offer all the services you need to keep your business
042585 - going.
042586 -
042587 - 7. 001 001040 (001).......................... $9.15
042588 - Ground Commercial
042590 - ..
042591 - 8. Tracking #.......... 1ZW2119W0353065491
042593 - ..
042594 - 9. Subtotal.................................. $9.15
042595 - Total..................................... $9.15
042596 -
042600 - ..
042601 - Post expense ledger...
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042605 -
042606 -
042607 -
042608 -
042609 -
042611 - ..
0427 -
0428 -
0429 - 1347
0430 -
043001 - Sent letter to SLODC saying...
043002 -
043003 - 1. Subject: 2nd Opinion CCTA with Calcium Score
043004 - Date: 2015-11-05 13:52
043011 - ..
043012 - 2. As discussed with Michelle in Scheduling earlier today [... per
043013 - above, ref SDS 0 MS3F, have submitted under separate cover CD
043014 - with computer files for coronary CT angiography (CCTA) scan
043015 - files produced at the VA Medical Center in San Francisco on
043016 - 151019. CD with this cover letter was shipped via UPS tracking
043017 - #...
043018 -
043019 - 1ZW2119W0353065491........................ ref SDS 0 JH9M
043021 - ..
043022 - 3. The CD should be delivered on Monday 151109.
043024 - ..
043025 - 4. Michelle indicated that the Diagnostic Center will review the
043026 - files, and then call to schedule meeting with me toward issuing
043027 - 2nd opinion on findings from the CT scan, including calcium
043028 - score. For reference, you can see the record of discussions
043029 - today, with Michelle and with you at (see line 041320.
043030 - ref SDS 0 0H8J
043032 - ..
043033 - 5. Look forward to hearing from the Diagnostic Center.
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