Welch Company
San Francisco, CA


S U M M A R Y


DIARY: October 12, 2010 02:49 PM Tuesday; Rod Welch

VA called to schedule meeting EGD test assess swallowing treatment.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Endoscopy Test Reflux Esophagitis VA Martinez Background Follow Up E

3003 -
3003 -    ..
3004 - Summary/Objective
3005 -
300501 - Follow up ref SDS 58 0000. ref SDS 54 0000.
300502 -
300503 -
300504 -
300505 -
300506 -
300508 -  ..
3006 -
3007 -
3008 - Progress
3009 -
300901 - Background reported on 100827 0738. ref SDS 54 5R5H
300902 -
300903 - On 101007 called VA to schedule meeting for follow up EGD test,
300904 - ref SDS 58 5R5H, planned in the meeting with Doctor Lee on 100827
300905 - 0738. ref SDS 54 SG8M as shown in medical chart, also reported on
300906 - 100827 0738. ref SDS 54 MZ8J
300908 -  ..
300909 - As well, Doctor Lee's letter on 100903, and received on 100912, after
300910 - returning from vacation, also called for follow up EGD test.
300911 - ref SDS 56 1W88
300913 -  ..
300914 - Today, received call from Jennifer, who assisted Doctor Lee with the
300915 - EGD test on 100827. ref SDS 54 YM9F
300917 -  ..
300918 - Jennifer scheduled EGD test at VA in Martinez on....
300919 -
300920 -                    101210 0930
300922 -  ..
300923 - She seemed to indicate that 0930 is the first time available for
300924 - Doctor Lee to perform the procedure on 101210, and further indicated
300925 - that should complete by about 1200, so the designated drive can do the
300926 - pickup during lunch.
300927 -
300928 -            [On 101124 1625 telephone message confimrs EGD test
300929 -            scheduled GI Department VA Clinic Martinez CA, does not
300930 -            report solution for driver requirement. ref SDS 61 PS4O
300932 -  ..
300933 - Jennifer will submit a letter confirming the work plan.
300934 -
300935 -            [On 101015 1547 received Jennifer's letter dated 101012
300936 -            1541, and confirming schedule for EGD test at VA in
300937 -            Martinez on 101210 0930. ref SDS 59 KD5G
300938 -
300939 -            [On 101108 0929 letter asks Kim to coordinate with Doctor
300940 -            Lee on arranging for a driver for EGD test on 101210.
300941 -            ref SDS 60 465I
300943 -  ..
300944 - Explained problem swallowing Omeprazole pills.  This obstrucst passage
300945 - of food, causing vomitting and so the pills are not actually
300946 - swallowed.  They come out with the vomit.
300948 -  ..
300949 - Asked if Omeprazole pills are available in a liquid form?  Doctor
300950 - Margolis in the VA Eye clinic prescribed liquid medication to replace
300951 - pills treating rosacia in order to avoid swallowing problems caused by
300952 - achalasia, reported on 070312 1200. ref SDS 5 HB9G  Glucosamine
300953 - Chondrotin is also available in liquid as an alternative to pills,
300954 - reported on 040529 0248. ref SDS 1 MN9P  These changes to liquid form
300955 - have been very successful.
300957 -  ..
300958 - Jennifer said to hold on while she consults with the doctor.
300960 -  ..
300961 - Jennifer advised the doctor says that inside the plastic pills are
300962 - very small pellets of Omeprazole that can be swallowed with liquid.
300963 - So just open the capsules and drink the little pellets with juice or
300964 - somthing like Glucosamine Chrodrotine.
300966 -  ..
300967 - Will try this to solve the problem.
300968 -
300969 -
300970 -
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300972 -
300973 -
300974 -
3010 -