CONTACTS
SUBJECTS
VA Notify Injury Hematoma Left Leg Symptoms Worsening Pain Need Crut
1403 -
1403 - ..
1404 - Summary/Objective
1405 -
140501 - Follow up ref SDS 32 0000. ref SDS 29 0000.
140502 -
140503 -
140504 -
140505 - [On 160527 0834 called Neurology, talked to Gary who said
140506 - he can schedule meeting with Doctor Abrams in August;
140507 - discussed background understanding Lauren talked to Doctor
140508 - Abrams and she understoon the doctor wanted a meeting
140509 - immediately. Gary will send the Doctor an email, asking
140510 - about this case; he will send a copy to Lauren and to me.
140511 - ref SDS 36 545I Called Medical Practice and talked to
140512 - Katasha - she will notify Lauren on status of the case, so
140513 - that Lauren can take proactive action if required.
140514 - ref SDS 36 E39M
140515 -
140516 -
140517 -
140518 -
140519 -
140520 -
140522 - ..
1406 -
1407 -
1408 - Background
1409 -
140901 - On 160504, met Lauren Rettberg, NP PA, in Primary Care. Reported loss
140902 - of balance that caused fall on 160501, ref SDS 29 JN3J, shown in case
140903 - study on 140101 0600. ref SDS 4 O85F Lauren performed a neurological
140904 - test, passed this including Romberg's balance test. ref SDS 29 WZ50
140906 - ..
140907 - On 160513 Lauren called and discussed referral to Wound Care for
140908 - treatment of new injury to left leg Achilles' tendon. ref SDS 32 FG5O
140909 - Lauren also planned to consult with Neurology about balance problem,
140910 - ref SDS 32 YK6J; she may make referral to Physical Therapy to evaluate
140911 - and assist with recovery balance problem. ref SDS 32 YK68 Lauren will
140912 - schedule visit for performing care to recover from calcified crystals
140913 - breaking loose from vestibular chamber and falling into semicircular
140914 - canals that cause loss of balance. ref SDS 32 YK72
140916 - ..
140917 - On 160523 visited Rose (Marie) in Medical Practice, scheduled call
140918 - from Lauren for Primary Care support on 160525 1130. ref SDS 34 PG6N
140919 - Rose on the Appointment care 5/23, so called back and got correction
140920 - from Bridget. ref SDS 34 8M9M
140922 - ..
140923 - On 160525 1130 Lauren called - she scheduled meeting on 160603 1030,
140924 - to maneuver head for resolving balance problem by dislodging calcified
140925 - crystals from semicircle balance canals near the hears. ref SDS 0 SY6N
140926 - Maneta called later and changed this to 1100. ref SDS 0 GT5G Lauren
140927 - also contacted Neurology and advised they want to meet with patient
140928 - immediately. She asked if a meeting has been scheduled. Since this
140929 - has not happened, she will call them again. She said that if
140930 - Neurology has not scheduled a meeting by this Friday, on 160527, to
140931 - call and request a meeting.
140932 -
140933 -
140934 -
140935 -
140937 - ..
1410 -
1411 -
1412 - Progress
1413 -
141301 - Telecon Meeting Primary Care VA Balance and Wound Care
141302 -
141303 - Follow up ref SDS 32 JN3J, ref SDS 29 JN3J.
141304 -
141305 - Lauren was familiar with medical meetings since we talked on 160513
141306 - 1100. ref SDS 32 AK5O
141308 - ..
141309 - Agenda....
141310 -
141311 - 1. Referral Wound Clinic review acute lower leg wounds and
141312 - prescribe refills on treatment supplies for self-care at home.
141314 - ..
141315 - Commended Lauren for timely work, enabling treatment in Wound Care on
141316 - 160519, that resulted in sufficient recovery to resume hiking, having
141317 - peformed 4 hikes in a row for first time in 6 months. 160519 0840,
141318 - ref SDS 33 956G
141320 - ..
141321 - This is mentioned in a letter to Doctor Lee, with copy to Doctor
141322 - Stewart, sent today in another record today on 160525 0912,
141323 - ref SDS 35 M872
141324 -
141326 - ..
141327 - 2. Physical Therapy...
141328 -
141329 - Met with Mike on 160523 0830. He discovered positioning that
141330 - causes dizziness.
141332 - ..
141333 - Mike further diagosed additional balance problem called
141334 - Vestibular Hypofunction, which caused the 2 major falls, first
141335 - in Yosemite on 150916, and more recently in Crystal Rock Park
141336 - on 160501. Testing found excellent balance on several
141337 - criteria, but patient failed the moving floor, moving wall
141338 - test, essential for maintainin during earthquakes.
141340 - ..
141341 - Mike schedule follow up therapy meetings to treat balance
141342 - problems.
141344 - ..
141345 - During telecon on 160513, Lauren planned to perform care to
141346 - recover from calcified crystals breaking loose from vestibular
141347 - chamber and falling into semicircular canals that cause loss of
141348 - balance. ref SDS 32 YK72
141350 - ..
141351 - At that time on 160513, Lauren said this work would be
141352 - scheduled at her next opening.
141354 - ..
141355 - When will this be scheduled?
141357 - ..
141358 - Today, Lauren scheduled doing this balance correction maneuver on...
141359 -
141360 - 160603 1030
141362 - ..
141363 - Lauren indicated that she talked to Doctor Abrams in Neurology. The
141364 - doctor tole Lauren that he wants to see the patient immediately for
141365 - examination.
141367 - ..
141368 - She asked if anyone from Neurology has called to schedule a meeting?
141370 - ..
141371 - Since have not heard from anyone at Neurology, Lauren will call them
141372 - again to schedule this examination.
141374 - ..
141375 - She understands that the doctor may not be able to do the examination
141376 - personally, but a resident will do the work with Doctor Abrams
141377 - attending, as occurred with Patrick in Orthopedics on 160418. At that
141378 - time, Patrick did the examination, and then consulted with Doctor
141379 - Dang, attending to confirm diagnosis and work plan. ref SDS 27 QJ9F
141380 -
141382 - ..
141383 - Lauren said if Neurology has not called by Friday, call them to
141384 - remind about scheduling the meeting...
141386 - ..
141387 - She gave the number to call Neurology...
141388 -
141389 - 415 221 4810 ext 22871
141390 -
141391 -
141392 - [On 160527 0834 called Neurology, talked to Gary who said
141393 - he can schedule meeting with Doctor Abrams in August;
141394 - discussed background understanding Lauren talked to Doctor
141395 - Abrams and she understoon the doctor wanted a meeting
141396 - immediately. Gary will send the Doctor an email, asking
141397 - about this case; he will send a copy to Lauren and to me.
141398 - ref SDS 36 545I Called Medical Practice and talked to
141399 - Katasha - she will notify Lauren on status of the case, so
141400 - that Lauren can take proactive action if required.
141401 - ref SDS 36 E39M
141402 -
141403 -
141405 - ..
1415 -
1416 -
1417 - 1235
1418 -
141801 - Maneta called from the VA.
141802 -
141803 - She said the meeting with Lauren has been changed to...
141804 -
141805 - 160603 1100
141807 - ..
141808 - Asked why we can't meet at 1030, as Lauren planned, per above?
141809 - ref SDS 0 B179
141811 - ..
141812 - Maneta said that while Lauren was scheduling the meeting for 1030,
141813 - the Medical practice staff scheduled someone else for that time,
141814 - therefore, the meeting has to be at 1100.
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