CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
0403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0403 -    ..
0404 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
0405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040501 - Follow up ref SDS 6 0000. ref SDS 5 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040507 -  ..
0406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0408 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040901 - As reported in the record of automobile accident last night, continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040902 - care through the night reported on 170905 2230. ref SDS 6 0172, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
040903 - attanding physician...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040905 -               Doctor Wurster Rebecca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040906 -               San Juanquin General Hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040907 -               500 West Hospital Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040908 -               French Camp, CA 95231                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040909 -               209 468 6000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
040910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040912 -  ..
0410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0412 - 0118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041301 - After CT of head and neck showed negative injuries, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041302 - another record late last night on 170905 2230, ref SDS 6 S66K,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041303 - Attending physician, Doctor Worster, advised that the patient can be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041304 - discharged to go home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041306 -  ..
041307 - Called Kathy in Sacramento.  Advised of situation.  She left driving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041308 - to the hopsital in French Camp.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041310 -  ..
041311 - Jerry provided a hospital patient shirt to wear home, since the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041312 - original shirt was in tatters, reported on 170905 2230. ref SDS 6 S65M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
041314 -  ..
041315 - Trying to rise up from the gurney to prepare for discharge, became                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041316 - very dizzy and disorineted.  Turning my head looking in any direction                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041317 - increased severity of dizziness with room spinning very fast.  Became                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041318 - nauseous and vomitted.  The medical team quickly got a container, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041319 - vomit would not spill onto the gurney or the floor.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041321 -            [On 170909 dizziness recurrence, much less severe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041322 -            quickly resolved after few seconds, reported in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041323 -            on 160101 0700. ref SDS 2 T15L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041325 -  ..
041326 - Severe dizziness indicates recurrence of BPPV successfully treated at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041327 - VAMCSF by Bethany on 160707 0900. ref SDS 3 4355                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041329 -  ..
041330 - Was given Meclizine for nausea.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041332 -  ..
041333 - Norco was also given for pain management.  Doctor Worster said this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041334 - is a combination of acetaminophen and hydrocodone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041336 -  ..
041337 - Repeated efforts to rise up from the gurney, caused recurrent severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041338 - dizziness and nausea.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041340 -  ..
041341 - The medical team decided to keep me in the hospital overnight for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041342 - observation to further evaluate dizziness and vomitting.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
041344 -  ..
041345 - Was wheeled on the gurney from ER cubical to a nearby cubical in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041346 - Trauma Center.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
041347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041350 -  ..
0414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0416 - 0243                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041701 - Kathy arrived.  Explained recurrence of severe dizziness caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041702 - medical team to cancel discharge, so staying in hospital overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041703 - for observation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
041705 -  ..
041706 - She brought a shirt to replace the one destroyed in the accident.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041708 -  ..
041709 - Was eventually able to sleep until morning, as Norco took affect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
041710 - reducing pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
041711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041713 -  ..
0418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0420 - 0600                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
042101 - Woke and continued working with Jerry, until change in staffing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
042102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042103 - He was terrific in every way, providing pain medication as requested.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042105 -  ..
042106 - Dizziness was less frequent in the morning.  Simply turning my head                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042107 - from side-to-side no longer triggered dizziness and vomitting, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
042108 - occurred last night, per above. ref SDS 0 D68J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
042110 -  ..
042111 - Tried getting off the gurney and walk around the hospital area.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042112 - however caused severe pain to...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
042113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042114 -        Back from neck along vertical muscle on left side of spine.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042116 -        Breathing and twisting cause pain to this area, besides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
042117 -        bending, siting, standing, and lifting left arm..                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
042119 -         ..
042120 -        Left leg, lifing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
042122 -  ..
042123 - Think Jerry gave more pain medication through the IV.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042128 -  ..
0422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0424 - 0700                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
042501 - Worked with the day-staff, mainly Kevin the Chage Nurse, and Reyanne,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042502 - the assigned nurse.  Both were very helpful and timely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
042504 -  ..
042505 - Asked to be discharged, so Kathy can take me to VAMCSF, where the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
042506 - doctors are familiar with patient history.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
042508 -  ..
042509 - Was moved to another cubical, and was able to work writing the record                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042510 - of the past few days.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042512 -  ..
042513 - Was able to get out off the gurney and walk around the hospital area,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042514 - with pain significantly reduced.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
042515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042520 -  ..
0426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0428 - 1000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
042901 - The San Joaquin General Hospital staff determined the patient can be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042902 - discharged for care at VAMCSF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
042904 -  ..
042905 - Reyanne worked on getting a doctor to prepare discharge order.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042906 - wound up taking over 8 hours, because the hospital ER is extremely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042907 - busy.  Large part of this patient volume is treating inmates from a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042908 - nearby prison.  Each has several guards, so the area is crowded,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
042909 - making work complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042911 -  ..
042912 - Reyanne said the first step is for a doctor to make an examination and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042913 - determine the patient is well enough conditioned to be discharged.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042915 -  ..
042916 - Explained that Doctor Worster already made that determination last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042917 - night, reported above. ref SDS 0 F5T7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042919 -  ..
042920 - Reyanne will investigate and try to expedite discharge, since this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042921 - will reduce workload, so there is more time for treating others.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
042923 -  ..
042924 - Requested copy of labs to aid VA in determining line of care.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
042925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042927 -  ..
0430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0432 - 1140                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
043301 - Reyanne brought a copy of the lab performed last night, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
043302 - another record on 170905 2230. ref SDS 6 FT5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
043304 -  ..
043305 - Reviewed lab results and entered into the record...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
043306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
043307 -   
043308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
043309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
043310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
043312 -  ..
0434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0436 - 1411                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
043701 - Kevin came by and said the attending physician has decided the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
043702 - patient can be discharged without having a doctor make an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
043703 - examination.  The patien has been seen walking around in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
043704 - facility, and further examination is not needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
043706 -  ..
043707 - Kevin said he is working on getting a doctor to prepare discharge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
043708 - documents.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
043709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
043711 -  ..
0438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0440 - 1500                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
044101 - Still waiting for discharge, Kathy went to the cafeteria and got a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
044102 - sandwich and somethig to drink...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
044103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
044104 -   
044105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
044106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
044108 -  ..
0442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0444 - 1648                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
044501 - Met with Doctor Kia.  He came into the cubical and said he has been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
044502 - assigned to write discharge documents.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
044504 -  ..
044505 - Asked him to explain briefly in the discharge document that patient                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
044506 - was treated for wounds suffered from car accident, driving 65 MPH.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
044507 - Blood tests show alcholol level 0, and that WBC 24.4, extremely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
044508 - elevated, expected for severe wounds.  Most severe external wound is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
044509 - large gash on lower left leg.  CT of head and neck were negative for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
044510 - injuries.  There is severe pain on vertical muscle on left of spine,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
044511 - which makes normal motions for walking, sitting, and bending painful.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
044512 - Patient further has severe dizziness and nausea, likely from whiplash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
044513 - during the collision at 65 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
044515 -  ..
044516 - Doctor Kia took notes during this discussion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
044518 -  ..
044519 - Explained this explanation will aid VAMCSF in evaluating the patient                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
044520 - for admission to treat and observe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
044522 -  ..
044523 - Doctor Kia said he would write in the discharge document to aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
044524 - VAMCSF provide continuing care.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
044525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
044527 -  ..
0446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0448 - 1748                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
044901 - Kevin said Doctor Kia has completed writing the discharge document.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
044902 - The patient can leave as soon as all the documents are typed and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
044903 - submitted to the patient.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
044904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
044905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
044907 -  ..
0450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0452 - 1812                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
045301 - Received from Reyanne following discharge documents...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
045302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045303 -    1.  Exit Care Patient Information -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
045305 -                ID................... 213818834                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
045308 -                 ..
045309 -                San Juanquin General Hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
045310 -                500 West Hospital Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
045311 -                French Camp, CA 95231                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
045312 -                209 468 6000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
045314 -                 ..
045315 -                Attending Care Giver:  Wurstor, Rebecca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
045316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045317 -                2017 Exit Care, LLC  9.6/2017  5:03:28 PM                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
045319 -                 ..
045320 -                Discharge Date/Time:  9/6/2017 1:18:49 AM                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
045322 -                 ..
045323 -                You should have your leg wound checked in 3 - 4 days.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
045325 -  ..
045326 - This are 8 pages in the document with instructions for wound care.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
045327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045330 -    2.  San Juanquin General Hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
045331 -        500 West Hospital Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
045332 -        French Camp, CA 95231                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
045333 -        209 468 6000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
045335 -         ..
045336 -        Discharge Form                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
045338 -         ..
045339 -        Welch, Rodney C                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
045340 -        MRN: 1208236                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
045341 -        ACCT #:  213818834  Type:  E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
045342 -        DOB:  3/1/1945  AGE: 72Y  Sex:  M  DOS:  09/05/2017                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
045343 -        INS:  VA FEE Services 965  F/C:  10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
045344 -        LOC:  EMERGENCY ROOM  Atnd:  WURSTER, REBECCA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
045346 -         ..
045347 -        Admission Date:  9/5/17    Discharge Date:  9/6/17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
045348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045350 -         ..
045351 -    3.  Lab Reports on 170905 and the next morning on 170906.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
045352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045353 -        Lab on 170905 115000 shows WBC 11.9 slightly elevated after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
045354 -        injuries from car collision a few hours earlier.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
045356 -         ..
045357 -        Lab on 170906 0420 shows WBC 24.4 now 5 hours after injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
045358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045361 -  ..
045362 - Everything else on this form is impossible to read, except by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
045363 - guessing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
045365 -  ..
045366 - There is written narrative, which may reflect understandings talking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
045367 - with Docto Kia, per above. ref SDS 0 PQ8J  Correlations are difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
045368 - to discern.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
045370 -  ..
045371 - Left hospital and drove to VA Medical Center in San Francisco for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
045372 - further evaluation and care.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
045373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
0454 -