CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 22 0000. ref SDS 19 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040507 -
040963 -  ..
040964 - On 091104 left leg incision recovering better implemeting Jan's
040965 - suggestion to elevate after hiking, 091104 0718, ref SDS 17 I15I,
040966 - Paula visits and concurs left leg looks much better. ref SDS 17 4Z7N
040967 - lab reports WBC 12 droped from 19 the day before, reflecting
040968 - improvement in left leg incision recovery. ref SDS 17 PRPV  Doctor
040969 - Tseng and medical team visits and confirms patient can be discharged
040970 - today. ref SDS 17 PR4V
040972 -  ..
040973 - On 091117 1317 Ramone called to confirm meeting with Neal on Thursday
040974 - at 1000, and requested arriving early to get labs and tests done prior
040975 - to 1000 meeting; discussed coordinating with VA in Martinez to
040976 - consolidated labs being performed today to test INR. 091117 1317,
040977 - ref SDS 18 QF7O
040979 -  ..
040980 - On 091117 1500 visited VA in Martinez for blood draw, consolidated
040981 - with requirements for labs to meet in San Francisco on 091119,
040982 - ref SDS 19 TC4I; after blood draw, Coagulation Control Case Manager
040983 - performed finger prick test and reported INR 1.5; increased Coumadin
040984 - by 25%, continuing with 2 mg, and increasing to 3 mg every other day.
040985 - ref SDS 19 TD4L  After meeting with Coagulation Control Case Manager
040986 - went to Radiology Department; got xrays and EKG tests for meeting with
040987 - Neal in San Francisco on 091119. ref SDS 19 TD6M
040989 -  ..
040990 - On 091119 1000 visited medical team at the VA in San Francisco
040991 - Cardiothoracic Surgery Clinic.  Examination shows good progress
040992 - recovering from heart surgery on 091022. ref SDS 21 938N
040994 -  ..
040995 - On 091124 1000 visited Diana, Coagulation Control Case manager; INR
040996 - 1.7 still not high enough, increased Coumadin to 3 mg per day.
040997 - ref SDS 22 QF7O  Diana submitted questions on continuing Coumadin
040998 - until DVT problem shown resolved by Sonogram testing. ref SDS 22 D26F
040999 -
041000 -
041001 -
041003 -  ..
0411 -
0412 -
0413 - Progress
0414 -
041401 - Visit VA in Martinez to meet with Coagulation Control Case Manager
041402 - for evaluating Coumadin treatment based on reaching INR between 2.0
041403 - and 3.0.
041405 -  ..
041406 - INR today is still 1.7, same reported last week on 091124. ref SDS 22
041407 - NU5L
041409 -  ..
041410 - Coumadin is increased to 4.5 mg Tuesdays and Thursdays, and held at 3
041411 - mg per day, prescribed previously on 091124. ref SDS 22 D16F
041413 -  ..
041414 - Diana wants to defer the meeting scheduled for 091208 to check INR
041415 - again, because there is a meeting scheduled with Doctor Stewart on
041416 - 091208 at the VA in San Francisco.  Diana proposed meeting the
041417 - following week on 091214 to evaluate whether Coumadin needs to
041418 - continue beyond the original 6-week schedule, which ends on 091212.
041419 -
041420 -        [On 091208 1300 follow up sonogram finds no evidence of DVT nor
041421 -        blood clotting of any kind in location discovered today; Doctor
041422 -        Stewart orders treatments with Coumadin to end, which is needed
041423 -        for surgery on 091216, but with findings today, Coumadin need
041424 -        not be resumed after surgery. ref SDS 23 D24G
041426 -         ..
041427 -        [On 091211 1523 letter notifies medical team Coumadin is ended
041428 -        based on sonogram test finding no evidence of DVT nor blood
041429 -        clot problems of any kind, ref SDS 24 445Y; by copy notify
041430 -        Diana that meeting scheduled for 091214 to check INR and adjust
041431 -        Coumadin is not longer needed, and so can be cancelled.
041432 -        ref SDS 24 446W
041433 -
041434 -
041435 -
041436 -
041437 -
041438 -
0415 -