CONTACTS 

SUBJECTS
Eye Examination Ulcerated Cornea Roscia Improved Responding to Treat

1103 -
1103 -    ..
1104 - Summary/Objective
1105 -
110501 - Follow up ref SDS 50 0000. ref SDS 49 0000.
110502 -
110503 -
110504 -
110505 -
110506 -
110507 -
110508 -
110510 -  ..
1106 -
1107 -
1108 - Progress
1109 -
110901 - Eye Left Painful Infection Red Inflammation Difficult to Work
110902 -
110903 - Follow up ref SDS 50 UF6K, ref SDS 49 UF6K.
110904 -
110905 - Background is reported in the record on 070221. ref SDS 50 UF6K
110907 -  ..
110908 - A publication in the Eye clinic....
110909 -
110910 -        AHRQ
110911 -        Patient Fact Sheet
110912 -
110913 -        20 Tips to Help Prevent Medical Errors
110914 -
110915 - ...was distributed on some chairs in the waiting room.  This article
110916 - was previously reviewed on 041125. ref SDS 11 UW8M  Another patient
110917 - was relating plans for a driving trip to Alaska, which would be a big
110918 - undertaking for someone 77.  When the patient was called, he started
110919 - by saying he had followed instructions received yesterday from the VA
110920 - by telephone not to eat anything since 1200 midnight, in order to
110921 - prepare for an operation this afternoon at 1330.
110923 -  ..
110924 - The attendent checked the computer and said the patient is not
110925 - scheduled for an operation, and that the patient was given erroneous
110926 - advice in the call from the VA yesterday.
110928 -  ..
110929 - The patient thought that since notice of an operation was a mistake,
110930 - he had time to get something to eat, and so left the Eye Clinic.
110931 - About 20 minutes later, a doctor came into the waiting room and called
110932 - for the patient.  Everyone explained the story, and that the patient
110933 - would likely return in 20 minutes or so.
110934 -
110935 -
110936 -
110938 -  ..
1110 -
1111 -
1112 - 1410
1113 -
111301 - Doctor Margulies conducted an examination.
111302 -
111303 - The doctor reviewed the record from the meeting on 070222 to determine
111304 - the scope of review today, following the practice on 070221.
111305 - ref SDS 50 5D88
111307 -  ..
111308 - Examination shows improvement in Rosacia.  Treatment takes about 30
111309 - days to be fully effective.
111311 -  ..
111312 - Doctor Margulies noticed from the record on 070221 there is a problem
111313 - with swallowing Doxycycline Hyclate pills for rosacia, discussed
111314 - during the meeting on 070221 in connection with Achalasia? ref SDS 50
111315 - J15J  The doctor asked for assessment of success with this method?
111316 - Reported some problems, but that treatment seems to be working.
111317 - Decided to continue with pills for another week or so.
111318 -
111319 -     [On 070228 examination shows recovery from rosacia.
111320 -     ref SDS 51 4Z7O; prescribed medication treatment will be
111321 -     continued. ref SDS 51 FN5M
111323 -      ..
111324 -     [On 070312 doctor changed prescription to Doxycycline
111325 -     Calcium (Vibramycin) Syrup Oral suspension raspberry apple
111326 -     flavored to solve swallowing problem taking medication for
111327 -     rosacia. ref SDS 52 HB9G
111329 -  ..
111330 - Examination of the left eye shows improvement in ulcerated cornea
111331 - diagnosed on 070222. ref SDS 50 BM62
111333 -  ..
111334 - Doctor decided to continue treatment prescribed on 070222. ref SDS 50
111335 - BM62
111337 -  ..
111338 - The doctor ordered examination by Doctor Galacher in Dermatology
111339 - department to get support on rosacea.
111340 -
111341 -     [On 070228 received notice of meeting scheduled for 070312.
111342 -     ref SDS 51 4U4H
111344 -  ..
111345 - Doctor Margulies ordered refill for Metrogel medication, as planned
111346 - during the meeting on 070221. ref SDS 50 U75G  VA provides a different
111347 - product rather than Metrogel.  The doctor called the Pharmacy and
111348 - obtained guidance to verify the prescription.  The medication will be
111349 - delivered.
111351 -  ..
111352 - The doctor wanted to schedule another examination on Thursday, 070301.
111353 - Since Millie has treatment in San Francisco on Thursday, the doctor
111354 - advanced follow up and scheduled the next meeting on Wednesday on
111355 - 070228.
111356 -
111357 -
111358 -
111359 -
111360 -
111361 -
111362 -
111363 -
1114 -