CONTACTS 

SUBJECTS
EDG Test Scheduled 101210 VA Martinez Anesthesia Driver Required Req

5403 -
5403 -    ..
5404 - Summary/Objective
5405 -
540501 - Follow up ref SDS 63 0000. ref SDS 61 0000.
540502 -
540503 -
540504 -
540505 -
540507 -  ..
5406 -
5407 -
5408 - Background
5409 -
540901 - Background reported on 100827 0738. ref SDS 54 5R5H
540902 -
540903 - On 101007 called VA to schedule meeting for follow up EGD test,
540904 - ref SDS 58 5R5H, planned in the meeting with Doctor Lee on 100827
540905 - 0738. ref SDS 54 SG8M as shown in medical chart, also reported on
540906 - 100827 0738. ref SDS 54 MZ8J
540908 -  ..
540909 - On 101012 Jennifer called and scheduled EDG test with Doctor Lee on
540910 - 101210 0930. ref SDS 60 KD5G
540912 -  ..
540913 - On 101015, letter from VA says need driver for EGD test on 101210.
540914 - ref SDS 61 X18I
540916 -  ..
540917 - Millie has always been the driver; however she died on 100729.
540918 - ref SDS 46 EK4I
540920 -  ..
540921 - Ron was the driver for the test on 100827 0738. ref SDS 54 DN8F  He is
540922 - now very ill in the hospital with cancer, and so cannot be the driver
540923 - for the test on 101210, reported on 101029 1733. ref SDS 62 X065
540925 -  ..
540926 - Peggy and Bob have been helpful from Foster City; Peggy's letter
540927 - explains possibility that VA Clinic in Martinez may have
540928 - transportation capabilities, reported on 101106 1153, ref SDS 65 XR5H
540930 -  ..
540931 - Possibilities...
540932 -
540933 -    1.  Get a cab, but not sure how to get the cab driver to show up in
540934 -        the VA Clinic as the designated driver, as set out in the VA's
540935 -        letter on 101015 1547. ref SDS 61 X18I
540937 -         ..
540938 -    2.  Move test to San Francisco, stay overnight in Hoptel until the
540939 -        next day and drive home after 24-hour no-drive period expires,
540940 -        reflecting work on 091019. ref SDS 11 PT8W  This was the
540941 -        provedure for angiogram test on 091019. ref SDS 11 4E7N
540943 -         ..
540944 -    3.  VA Clinic in Martinez may have Transportation support for
540945 -        customers, similar to VA Med Center in San Francisco who
540946 -        provided transport home after heart surgery, because Mil had
540947 -        chemotherapy the day before and could not drive to the City and
540948 -        bring me home, reported on 091104. ref SDS 20 0P4H
540949 -
540950 -            [On 110105 1548 VA passenger van parked at Fry's advertises
540951 -            phone number to call 800 382 8387 (VETS) for Veteran
540952 -            Transportation services. ref SDS 70 NH5H
540953 -
540955 -  ..
5410 -
5411 -
5412 - Progress
5413 -
541301 - EGD Test 101210 Driver Requirement Move Test VA Medical Center SF
541302 -
541303 - Letter to Kim at VA says...
541304 -
541305 -    1.  Subject: EGD Scheduled Dec 10 Doctor Lee Need Driver
541306 -        Date: Mon, 08 Nov 2010 13:39:23 -0800
541314 -         ..
541315 -    2.  You coordinated prior work with Doctor Sandhu in Primary Care.
541316 -        On 100305 you assisted Doctor Lee perform EGD, ref SDS 39 V25F,
541317 -        so hoping you can facilitate communication on this matter with
541318 -        Doctor Lee.
541320 -         ..
541321 -    3.  On 101012, Jennifer scheduled EGD at VA in Martinez for 101210
541322 -        0930. ref SDS 60 KD5G
541324 -         ..
541325 -    4.  As shown, a few days later on 101015, received Jennifer's
541326 -        letter confirming EGD on 101210, and saying I need a driver.
541327 -        ref SDS 61 X18I
541329 -         ..
541330 -    5.  Getting a "driver" to present at "check in" is problematic.
541331 -        Millie has always been my driver; however, Mil died on 100729.
541332 -        ref SDS 46 EK4I
541334 -         ..
541335 -    6.  Her son Ron Junior was the driver for the last test on 100827
541336 -        ...[reported, ref SDS 54 DN8F...], but sadly, Ron has been
541337 -        hospitalized for 3 weeks, and is now diagnosed with cancer.
541338 -        First chemo was yesterday, and we're hoping he can come home
541339 -        soon.  So, Ron cannot be the driver.  The record today lists
541340 -        possibilities. ref SDS 0 JV88
541341 -
541342 -            [On 110105 1548 VA passenger van parked at Fry's advertises
541343 -            phone number to call 800 382 8387 (VETS) for Veteran
541344 -            Transportation services. ref SDS 70 NH5H
541346 -         ..
541347 -    7.  Since we have about 4 weeks to find a solution, can you please
541348 -        review with Doctor Lee and let me know what arrangements can be
541349 -        made, including with the VA?  The easiest (and expensive) is to
541350 -        take a cab, but company logistics may conflict with VA
541351 -        requirements.  We could move the test to the Med Center in San
541352 -        Francisco, and I can stay over night in the Hoptel, as the VA
541353 -        did for the angiogram test (which turned into heart surgery).
541354 -        As well, if VA in Martinez has transport options that would be
541355 -        great.
541356 -
541357 -            [On 101108 1443 letter notifies Peggy of progress arranging
541358 -            for driver to get the EGD test at VA on 101210. ref SDS 66
541359 -            HV4R
541361 -         ..
541362 -    8.  Please let me know.
541363 -
541364 -            [On 101112 0952 meeting with Connie in Primary Care
541365 -            Department indicated patients can wait a few hours after
541366 -            EGD test and drive home when anesthesia subsides.
541367 -            ref SDS 67 4S5G
541369 -             ..
541370 -            [On 101112 0952 telephone message from Jennifer says Doctor
541371 -            Lee approves moving EGD test to VA San Francisco in order
541372 -            to solve the driver problem. ref SDS 67 4R4U
541374 -             ..
541375 -            [On 101112 0952 letter thanks Kim for facilitating
541376 -            communication with Doctor Lee on arranging for EGD test
541377 -            scheduled on 101210. ref SDS 67 WQ9M
541379 -             ..
541380 -            [On 101112 0952 letter asks about "work around" on driver
541381 -            issue so EGD can be done locally at VA Clinic in Martinez,
541382 -            rather than going to Medical Center in San Francisco.
541383 -            ref SDS 67 KT3W
541385 -             ..
541386 -            [On 101116 1542 meeting at VA Kendall asks again about Ron
541387 -            Junior being the driver for the test on 101210? ref SDS 68
541388 -            TA5F
541390 -             ..
541391 -            [On 101124 1625 telephone message confimrs EGD test
541392 -            scheduled GI Department VA Clinic Martinez CA, does not
541393 -            report solution for driver requirement. ref SDS 69 PS4O
541395 -         ..
541396 -    9.  By copy asking Doctor Sandhu if we can coordinate meeting to
541397 -        assess labs for the same day as the EGD on 101210 prior to
541398 -        0930.  Lab review should only take a few minutes, like the one
541399 -        on 100721. ref SDS 45 PP8W
541401 -         ..
541402 -   10.  Hoping this can be scheduled for 0800 - -0915, prior to meeting
541403 -        with Doctor Lee in the GI clinic; and, if not, then we can meet
541404 -        after EGD, say at 1400 - 1500, at your convenience.
541406 -         ..
541407 -   11.  After setting date for Primary Care evaluation, I can get a
541408 -        blood draw.  Please include the same scope for the lab on
541409 -        100721. ref SDS 45 RP4N
541411 -         ..
541412 -   12.  There were dramatic changes in CBC and LIPID panels for the
541413 -        test on 100721, which seem conflicting with prior tests.
541414 -        Gluecose is another critical element. ref SDS 45 GM65
541415 -
541416 -            [On 101112 0952 met with Connie at the front desk for VA
541417 -            Primary Care at Martinez Clinic, and Connie scheduled
541418 -            another full lab as done on 100721, ref SDS 67 4R45
541420 -         ..
541421 -   13.  Consistency taking medication can be seen from chart beginning
541422 -        101010. ref SDS 59 QJ5I
541424 -         ..
541425 -   14.  We can further track meds, exercise and vitals against labs.
541427 -         ..
541428 -   15.  Since Simvastatin was increased on 100721, to 40 mg,
541429 -        ref SDS 45 RP4F, hoping for significant drop in LIPID, that
541430 -        reverses prior dramatic rise.  A friend reported that after
541431 -        switching from 20 to 40 mg per day, their cholesterol dropped
541432 -        from 340 to 170.  Seems like a miracle.  So, hoping for the
541433 -        best.
541434 -
541441 -         ..
541442 -   18.  PS - Recent letter on 101105 to the CT surgery team at the Med
541443 -        Center in San Francisco reported increased a-fib-like events.
541444 -        ref SDS 64 755I
541445 -
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5415 -