CONTACTS 

SUBJECTS
Endoscopy Test Reflux Esophagitis VA Martinez Background Follow Up E

3003 -
3003 -    ..
3004 - Summary/Objective
3005 -
300501 - Follow up ref SDS 50 0000. ref SDS 48 0000.
300502 -
300503 -
300504 -
300505 -
300507 -  ..
3006 -
3007 -
3008 - Background
3009 -
300901 - On 090908 1130 Doctor Lee prepared work plan, ref SDS 9 BU6W, for
300902 - treating achalasia and including resolving new symptom of chest pains.
300903 - ref SDS 9 FT6M
300905 -  ..
300906 - On 091002 met with Doctor Egan, Cardiologist at the VA.  The doctor
300907 - advised that 10 of 11 test points in the stress test showed positive
300908 - for circulation problems, and so the doctor ordered angiogram.
300909 - ref SDS 10 1W5I
300911 -  ..
300912 - 091021 0716 Meeting at VA to complete angiogram test meeting,
300913 - ref SDS 11 01F9, and perform test. ref SDS 11 025B  Results show
300914 - requirement for heart bypass surgery. ref SDS 11 7L47
300916 -  ..
300917 - On 091022 0700 Doctor Tseng, Casey and others performed quadruple
300918 - heart bypass surgery at VA in San Francisco. ref SDS 12 01F9
300920 -  ..
300921 - On 091031 0730 discussed scheduling surgery to fix achalasia problem
300922 - as essential predicate to maintain nutrition required for recovering
300923 - from heart surgery. ref SDS 15 PW5H
300925 -  ..
300926 - On 091103 Paula reported the VA has scheduled a meeting today with
300927 - Doctor Stewart for planning Heller Myotomy surgery to correct
300928 - achalasia problem. ref SDS 17 PS60  On 091104 0718 Medical Chart
300929 - discharge guidance lists meeting with Doctor Stewart 091117 1300,
300930 - which conflicts with patient history today. ref SDS 18 Q03J  On 091119
300931 - 1000 Erick confirmed visit with Doctor Stewart on 091208, and is
300932 - reviewing date of surgery scheduled for 091217. ref SDS 20 935H
300934 -  ..
300935 - On 091104 0718 discharged from VA recovering from quadruple heart
300936 - bypass surgery, ref SDS 18 PR4V, performed on 091022 0700. ref SDS 12
300937 - PQWU; received medical record with list of medications, also on 091104
300938 - 0718, ref SDS 18 1Q6P, and follow up meetings. ref SDS 18 9T6O
300940 -  ..
300941 - On 091208 Doctor Stewart advanced the schedule for surgery one day to
300942 - 091216. ref SDS 22 6E41
300944 -  ..
300945 - On 091216 0600 meeting Doctor Stewart for Heller Myotomy surgery to
300946 - correct achalasia; check in at ASU. ref SDS 26 PP8W
300948 -  ..
300949 - On 091217 0600 meeting with Joe and Jon on recovring from Heller
300950 - Myotomy surgery; report of complication during surgery on 091216,
300951 - which was repaired, with plan for test to evaluate recovery. reported
300952 - on 091217 0600, ref SDS 27 0042  Doctor Stewart visited and expects
300953 - can start eating after favorable test. ref SDS 27 027A
300955 -  ..
300956 - On 091218 0600 xray with gastrogafin to evaluate repair for
300957 - complicaiton during Heller Myotomoy surgery Wednesday, ref SDS 28 PP8W,
300959 -  ..
300960 - On 091219 0600 doctor plans discharge tomorrow after evaluating
300961 - progress eating solid food today. ref SDS 29 PP5V  Since now eating
300962 - solid food, switched to oral pill medication to replace IV injections;
300963 - this relieved pain that has been increasing using IV catheters set on
300964 - Wednesday, ref SDS 29 PQPX, and also eliminated need to replace IV
300965 - catheters per TCU protocol. ref SDS 29 7Q55  Doctors prescribed hiking
300966 - to recover from Heller Myotomy surgery resolving achalasia.
300967 - ref SDS 29 7Q6P   Doctor Ratcliff and Neil visit and discussing doing a
300968 - small business trial to apply SDS technology for upgrading VA and UCSF
300969 - case management. ref SDS 29 0M6S  Nurse advises that patient approved
300970 - for moving to a ward for non-critical care, as a predicate to
300971 - discharge, but since there are no rooms available, patient will remain
300972 - in TCU untill a room is available. ref SDS 29 0M8S
300974 -  ..
300975 - On 091220 0527 discharge approved from hospital today. ref SDS 30 PP8W
300976 - Left the hospital about 1220. ref SDS 30 HB5O
300978 -  ..
300979 - On 091221 1532 Isagani called to schedule meeting with Doctor Stewart
300980 - at VA in San Francisco on 100105. ref SDS 31 PP8W
300982 -  ..
300983 - On 091222 1109 letter from Isagana says meeting with Doctor Stewart is
300984 - scheduled on 100112 1400. ref SDS 32 PP8W
300986 -  ..
300987 - On 091223 1452 letter came in regular mail scheduling a meeting with
300988 - Doctor Stewart on 100105 1400. ref SDS 33 PP8W
300990 -  ..
300991 - On 100104 0930 met with Doctor Sandhu to begin care for heart surgery
300992 - and follow up on Heller Myotomy surgery to recover from achalasia.
300993 - ref SDS 36 PP8W
300995 -  ..
300996 - On 100305 1000 reported to VA Martinez for endoscopy and colonoscopy
300997 - tests. ref SDS 37 PP8W  Doctor Lee ordered shingles vaccination,
300998 - ref SDS 37 4O4O, and this was performed. ref SDS 37 GT5G  Endoscopy
300999 - test found evidence of "acid burn" on "flap", ref SDS 37 PR6P;
301000 - treatment prescribed, and plan for follow up test. ref SDS 37 HB86
301001 - Colonoscopy test found no evidence of cancer or disease. ref SDS 37
301002 - K97H
301004 -  ..
301005 - On 100610 1046 went to VA in Martinez for blood draw to evaluate
301006 - cholesterol as a diagnostic of cardiovascular health. ref SDS 39 QV4F
301008 -  ..
301009 - On 100721 0800 visit Doctor Sandhu Martinez VA; patient demonstrates
301010 - continuing recovery from heart surgery last October, ref SDS 43 PP8W;
301011 - doctor concerned patient is not listening because Simvastatin
301012 - medication to control cholesterol was not continued after completing
301013 - initial prescription, ref SDS 43 3X4L, shown by lab results cholesterol
301014 - has not declined very much for lab on 100610. ref SDS 43 HY76; doctor
301015 - increased dose of Simvestatin and encourages continuing this
301016 - medication. ref SDS 43 RP4F  New lab ordered today shows cholesterol
301017 - reversed long-term decline and increased dramatically in just 30 days,
301018 - suggesting possibly error in lab testing process. ref SDS 43 E19L
301020 -  ..
301021 - On 100810 1530 meeting with Doctor Lee to schedule a meeting on 100827
301022 - to do another test to evaluate recovery from acid infection found in
301023 - the test last March. ref SDS 48 PP8W  The doctor did not address
301024 - questions on severity of reflux esophagitis, ref SDS 48 HN8I, from
301025 - reviewing pathology report received on 100312, ref SDS 38 QQ7O, for
301026 - the endocsopy test on 100305. ref SDS 37 PR6P
301028 -  ..
301029 - On 100827 0830 test for improvement in throat since infection found
301030 - during test on 100305. ref SDS 50 PP8W
301032 -  ..
301033 - On 100827 2347 letter to Ron Junior with thanks for being designated
301034 - driver required to get endoscopy test at VA this morning. ref SDS 0
301035 - PP8W
301036 -
301037 -
301038 -
301040 -  ..
3011 -
3012 -
3013 - Progess
3014 -
301401 - Letter to Ron says...
301402 -
301403 -    1.  Subject: Thanks for Ride VA Medical Procedure
301404 -        Date: Fri, 27 Aug 2010 23:54:23 -0700
301411 -         ..
301412 -    2.  Just noticed messages on the answering machine, and heard your
301413 -        report of the mixup.  After you dropped me off at the VA this
301414 -        morning, I checked in and the attendant asked to "see the
301415 -        driver."  [...reported in the record earlier today, 100827
301416 -        0738, ref SDS 50 PP8W...] Recalled you asking, if you needed to
301417 -        come up, and so had to explain understandings from Kendall on
301418 -        Wednesday that we just needed a cell phone number to call etc.
301419 -        The attendant smiled and said "Don't worry, Honey.  Everybody's
301420 -        always changing things around here."  [...reported on 100827
301421 -        0738. ref SDS 50 SM4Q...]
301422 -
301423 -            [On 100828 0553 letter notifies Pam that her brother, Ron,
301424 -            provided ride to and from VA for test. ref SDS 51 7O7S
301426 -         ..
301427 -    3.  So, despite minor glitches everything went well.
301429 -         ..
301430 -    4.  Thanks again for help today.
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