CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 44 0000. ref SDS 42 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Background
0409 -
040901 - On 091103 Paula reported the VA has scheduled a meeting today with
040902 - Doctor Stewart for planning Heller Myotomy surgery to correct
040903 - achalasia problem. ref SDS 20 PS60  On 091104 0718 Medical Chart
040904 - discharge guidance lists meeting with Doctor Stewart 091117 1300,
040905 - which conflicts with patient history today. ref SDS 21 Q03J  On 091119
040906 - 1000 Erick confirmed visit with Doctor Stewart on 091208, and is
040907 - reviewing date of surgery scheduled for 091217. ref SDS 23 935H
040909 -  ..
040910 - On 091208 Doctor Stewart advanced the schedule for surgery one day to
040911 - 091216. ref SDS 25 6E41
040913 -  ..
040914 - On 091216 0600 meeting Doctor Stewart for Heller Myotomy surgery to
040915 - correct achalasia; check in at ASU. ref SDS 29 PP8W
040917 -  ..
040918 - On 091217 0600 meeting with Joe and Jon on recovring from Heller
040919 - Myotomy surgery; report of complication during surgery on 091216,
040920 - which was repaired, with plan for test to evaluate recovery. reported
040921 - on 091217 0600, ref SDS 30 0042  Doctor Stewart visited and expects
040922 - can start eating after favorable test. ref SDS 30 027A
040924 -  ..
040925 - On 091218 0600 xray with gastrogafin to evaluate repair for
040926 - complicaiton during Heller Myotomoy surgery Wednesday, ref SDS 31 PP8W,
040928 -  ..
040929 - On 091219 0600 doctor plans discharge tomorrow after evaluating
040930 - progress eating solid food today. ref SDS 32 PP5V  Since now eating
040931 - solid food, switched to oral pill medication to replace IV injections;
040932 - this relieved pain that has been increasing using IV catheters set on
040933 - Wednesday, ref SDS 32 PQPX, and also eliminated need to replace IV
040934 - catheters per TCU protocol. ref SDS 32 7Q55  Doctors prescribed hiking
040935 - to recover from Heller Myotomy surgery resolving achalasia.
040936 - ref SDS 32 7Q6P   Doctor Ratcliff and Neil visit and discussing doing a
040937 - small business trial to apply SDS technology for upgrading VA and UCSF
040938 - case management. ref SDS 32 0M6S  Nurse advises that patient approved
040939 - for moving to a ward for non-critical care, as a predicate to
040940 - discharge, but since there are no rooms available, patient will remain
040941 - in TCU untill a room is available. ref SDS 32 0M8S
040943 -  ..
040944 - On 091220 0527 discharge approved from hospital today. ref SDS 33 PP8W
040945 - Left the hospital about 1220. ref SDS 33 HB5O
040947 -  ..
040948 - On 091221 1532 Isagani called to schedule meeting with Doctor Stewart
040949 - at VA in San Francisco on 100105. ref SDS 34 PP8W
040951 -  ..
040952 - On 091222 1109 letter from Isagani says meeting with Doctor Stewart is
040953 - on 100112 1400, not Jan 5th; possibly there are 2 meetings scheduled.
040954 - ref SDS 35 J57K
040956 -  ..
040957 - On 091223 1452 VA letter says meeting with Doctor Stewart scheduled on
040958 - 100105 1400, ref SDS 36 PP8W
040960 -  ..
040961 - On 091228 1049 letter to VA asks Isagani to clarify date for meeting
040962 - with Doctor Stewart, and whether there are two (2) meetings?
040963 - ref SDS 37 PP8W
040965 -  ..
040966 - On 091228 1418 letter from Isagani says meeting with Doctor Stewart is
040967 - on 100105, and there is only 1 meeting scheduled, not 2. ref SDS 38
040968 - PP8W
040970 -  ..
040971 - On 100104 0930 met with Doctor Sandhu to begin care for heart surgery
040972 - and follow up on Heller Myotomy surgery to recover from achalasia.
040973 - ref SDS 39 PP8W
040975 -  ..
040976 - On 100105 1300 meeting with Jan and Doctor Stewart; examination finds
040977 - good progress recovering from Heller Myotomy surgery on 091216, and
040978 - procedure seems effective resolving achalasia problem, swallowing
040979 - improved. ref SDS 41 PP8W
040981 -  ..
040982 - On 100127 1210 submitted agenda in a letter to the medical team for
040983 - the meeting at the VA in Martinez scheduled for 100202; primary
040984 - objective to evaluate recovery from achalasia following Heller Myotomy
040985 - surgery at the VA in San Fancisco on 091216 0700. ref SDS 42 PP8W
040987 -  ..
040988 - On 100202 1400 met with Doctor Lee in GI Department VA Martinez, and
040989 - to follow up heart surgery and Heller Myotomy surgery to recover from
040990 - achalasia. ref SDS 43 PP8W
040992 -  ..
040993 - On 100301 0418 notified medical team at VA that fibrilliation
040994 - occurred, ref SDS 44 5T8Q, and asks about vaccination for shingles.
040995 - ref SDS 44 5T9W
040997 -  ..
040998 - On 100301 0942 Isagani, Doctor Stewart's assistant in General Surgery
040999 - at the San Francisco Medical Center says that surgery department does
041000 - not order post operative vaccination, in this case for shingles;
041001 - recommends talking to primary care physician. ref SDS 0 PP8W
041002 -
041004 -  ..
0411 -
0412 -
0413 - Progess
0414 -
041401 - Letter from Isagani at VA Medical Center in San Francisco says...
041402 -
041403 -    1.  Subject: RE: Heart Fibrillation Vaccine for Shingles
041404 -        Date: Mon, 1 Mar 2010 07:31:13 -0800
041411 -         ..
041412 -    2.  I have not seen any vaccination orders for any of our patients
041413 -        post-operatively. (not to say that it isn't appropriate)  It is
041414 -        best that you discuss vaccination with your primary doctor who
041415 -        could better address that.  Glad to hear you're doing much
041416 -        better.  Best of luck.
041418 -  ..
041419 - Isagani's recommendation to discuss shingles vaccination with primary
041420 - care physician presents a challenge, because next meeting is in July.
041421 -
041422 -            [On 100302 0830 during meeting at Kaiser in Walnut Creek,
041423 -            Doctor Johnson recommends consideration of vaccination
041424 -            against shingles for care givers because Millie has a
041425 -            severe case of shingles. ref SDS 45 GS5J
041426 -
041432 -
041433 -
041434 -
041435 -
041436 -
041437 -
041438 -
0415 -