CONTACTS 

SUBJECTS
Manometry Test on Esophageal Sphincter Scheduled 060209 0800 at VA H

1303 -
1303 -    ..
1304 - Summary/Objective
1305 -
130501 - Follow up ref SDS 36 0000. ref SDS 35 0000.
130502 -
130503 - Vi scheduled the manometry test for the espophageal sphincter valve on
130504 - 060209 0800.  Work will be performed at the VA hospital, Mather AFB,
130505 - Sacramento.  Preparations are the same as the previousl test.
130506 - ref SDS 0 HE65  The lead doctor on this issue will attend and support
130507 - the test.  Will require driver support, due to effects of anesthetics.
130508 - ref SDS 0 7Z7M  Submitted confirmation to Teresa for the doctor at the
130509 - VA in Martinez.
130510 -
130511 -     [On 060202 confirmed understandings from the meeting, and notified
130512 -     of plan to have lipoma removed. ref SDS 38 G45S
130513 -
130514 -
130516 -  ..
1306 -
1307 -
1308 - Discussion
1309 -
130901 - Test Scheduled 060209 0800 Mather AFB in Sacramento
130902 -
130903 - Violate (Vi) called to schedule the manometry test ordered by the
130904 - doctor in a letter dated 060106, and received on 060111, ref SDS 36
130905 - 696L, and further following up favorable finding of no cancer from the
130906 - test on 051209, ref SDS 30 455N, also, received on 060111, ref SDS 36
130907 - GG9I, and reporting results of the test on 051209. ref SDS 30 PRRT
130909 -  ..
130910 - Vi advised that the lead doctor on this issue, at the VA GI Clinic in
130911 - Martinez, plans to attend and assist with this test, and the only day
130912 - of the week he is at Mather AFB VA hopsital is on Thursdays, and the
130913 - next available Thursday is 060209.
130914 -
130915 -     [On 060202 confirmed understandings from the meeting, and notified
130916 -     of plan to have lipoma removed. ref SDS 38 G49P
130918 -      ..
130919 -     [On 060209 meeting at VA Mather AFB in Sacramento, test was
130920 -     postponed until 060223 due to equipment failure. ref SDS 39 OW6M
130922 -      ..
130923 -     [On 060221 letter to Doctor asks about alternatives to manometry
130924 -     testing, and whether treatment for achalasia can proceed.
130925 -     ref SDS 40 7U8H
130926 -
130927 -
130929 -  ..
130930 - Vi's telephone number...
130934 -  ..
130935 - Scheduled the test for...
130936 -
130937 -                       060209 0800
130939 -  ..
130940 - Vi provided following driving instructions...
130942 -  ..
130943 - Location of VA facility in Sacremento...
130944 -
130945 -                       GI Clinic
130946 -                       VA Hospital
130947 -                       10535 Hospital Way
130948 -                       Mather AFB, CA  95655
130949 -                       916 366 5366
130951 -       ..
130952 -      Directions...
130953 -
130954 -        Take 80 to 50 toward South Lake Tahoe.  Take the turn-off for
130955 -        Mather AFB, about 5 - 10 miles from Sacramento.
130956 -
130957 -        Take this road into the base, and Hospital Way is clearly
130958 -        marked.
130959 -
130960 -
130962 -  ..
130963 - Procedure Same as for Prior Test Clear Liquid Diet 48 Hours
130964 -
130965 -
130966 -        Vi said this will take about an hour; there is no anesthetic,
130967 -        unless the patient has difficulty tolerating the test probe
130968 -        into the espophageal sphincter valve.
130970 -         ..
130971 -        Vi called back later and said she just completed talking to the
130972 -        lead doctor on this matter in Martinez.  He plans to use the
130973 -        same anesthetic procedure used for the test on 051209, and so
130974 -        this manometry test might take several hours.
130975 -
130977 -  ..
130978 - Preparations....
130979 -
130980 -        Vi said to fast for 6 hours prior to the test. (see revised
130981 -        instructions calling for clear liquid diet 48 hours prior to
130982 -        test. ref SDS 0 FI88)
130983 -
130984 -
130985 -
130987 -  ..
1310 -
1311 -
1312 - 1052
1313 -
131301 - Vi called back.
131302 -
131303 - She notified the doctor at the VA in Martinez that the test is
131304 - scheduled for 060209 0800 at Mather AFB in Sacramento.
131306 -  ..
131307 - The doctor gave additional instructions...
131308 -
131309 -        Patient preparation should be "clear liquid diet for 48 hours
131310 -        prior to the test, the same as for the test on 051209,
131311 -        presented by the nurse during the meeting on 051202,
131312 -        ref SDS 28 EP9H, because, the doctor plans to use the same
131313 -        procedure for anesthetic that was used for the test on 051209
131314 -        when he found that the espophageal sphincter in this case
131315 -        requires considerable pressure to penetrate, as required for
131316 -        the test on 060209.  This modifies earlier guidance, per above.
131317 -        ref SDS 0 FI6F
131319 -         ..
131320 -        Clear liquid diet for 48 hours, beginning on 060107, Tuesday,
131321 -        is required prior to the examination.
131322 -
131323 -
131325 -  ..
131326 - Driver Support Required Due to Anesthetics
131327 -
131328 -
131329 -        Vi advised that since the doctor plans to use a stronger
131330 -        anesthetic procedure, this will require driver support for the
131331 -        trip home, as required previously for the
131332 -        test on 051209.
131333 -
131334 -
131336 -  ..
1314 -
1315 -
1316 - 1453
1317 -
131701 - Received letter from Kim saying...
131702 -
131703 -    1.  Subject: Re: Schedule Confirmation Manometry Test Sacramento 060209
131704 -        Date: 25 Jan 2006 14:45:43 -0700 (PDT)
131708 -         ..
131709 -    2.  I am not clear on who to forward this to.  I do not know of a
131710 -        Theresa in GI clinic.  There is a Theresa in the Ambulatory
131711 -        Surgery/Special Procedure clinic.  Is the person you spoke to
131712 -        from Martinez or Sacramento?
131714 -  ..
131715 - The record on 051209 shows that a nurse in the GI Clinic at the VA in
131716 - Martinez called Kim and left a message about scheduling a meeting with
131717 - the primary care physician. ref SDS 30 3X5F  So, this is a person who
131718 - Kim knows.  The nurse's name is listed as "Teresa," and that she works
131719 - with Judith, ref SDS 30 455N, but these names are based on
131720 - conversation, and from memory from reading name tags, and so may
131721 - incorrect.
131722 -
131723 -     [On 060202 confirmed understandings from the meeting, and notified
131724 -     of plan to have lipoma removed. ref SDS 38 G45S
131725 -
131727 -  ..
1318 -
1319 -
1320 - 1502
1321 -
132101 - Called Kim.
132102 -
132103 - Could not get through.  Got an operator, Vicky, who transferred the
132104 - call to a voice mail, but it was a general number, and an operator
132105 - came on who wanted a patient number or something, and would not
132106 - transfer the call.
132108 -  ..
132109 - Sent a letter back to Kim saying...
132110 -
132111 -    1.  Subject: Re: Schedule Confirmation Manometry Test Sacramento 060209
132112 -        Date: Wed, 25 Jan 2006 15:13:51 -0800
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1322 -