CONTACTS 

SUBJECTS
EGD Test Move VA Medical Center San Francisco for Driver Requirement

4903 -
4903 -    ..
4904 - Summary/Objective
4905 -
490501 - Follow up ref SDS 9 0000, ref SDS 8 0000.
490502 -
490503 -
490504 -
490506 -  ..
4906 -
4907 -
4908 - Progress
4909 -
490901 - Yesterday, drove to GI Clinic at VA in Martinez, to ask about solving
490902 - driver problem for EGD test scheduled for 101210.  The clinic was very
490903 - busy helping patients, so did not meet with anyone, reported on 101115
490904 - 1624, ref SDS 9 SI5G
490906 -  ..
490907 - In the afternoon, called the VA but could not through to speak with
490908 - anyone.
490910 -  ..
490911 - This afternoon, drove back to the VA in Martinez.
490913 -  ..
490914 - Talked to Iris and Kendall.
490916 -  ..
490917 - They said having a driver for the EGD test is essential.
490919 -  ..
490920 - Explained that Millie died on 100729, so getting a driver has proven
490921 - difficult, explained in the letter to the VA on 101108 0929.
490922 - ref SDS 5 6X3U
490924 -  ..
490925 - Iris indicated the doctor is aware of this problem, as reported in
490926 - letters for him sent to Kim on....
490927 -
490928 -             101108 0929......................... ref SDS 5 6X3U
490929 -             101112 0952......................... ref SDS 8 KT3W
490931 -  ..
490932 - Kendall asked about using the driver for the last test on 100827.
490933 - ref SDS 2 DN8F  He remembered calling Ron Junior for transportation
490934 - after the EGD test.
490936 -  ..
490937 - Explained that Ron Junior has been hospitalied for several weeks with
490938 - diagnosis of cancer, and so is unable to be the driver, reported on
490939 - 101108 1203. ref SDS 6 XR5H  The VA was notified later that day, that
490940 - getting driver for the next test on 101210, will be a problem, shown
490941 - in the record on 101108 0929. ref SDS 5 6X3U
490943 -  ..
490944 - Kendall related that a lot of patients can't arrange for drivers.  He
490945 - explained the VA in Martinez previously provided transportation, and
490946 - at one time had Hoptel facilities for these situations, as well, but
490947 - has now discontinued both practices.
490949 -  ..
490950 - Asked about Connie's idea presented yesterday for the patient to wait
490951 - a few hours after the test, and then drive home when effects of
490952 - anesthesia subside, reported on 101112 0952. ref SDS 8 ZT35
490954 -  ..
490955 - Iris seemed to indicate that waiting to drive home a few hours after
490956 - anesthesia subsides might a good solution.  Explained that experience
490957 - getting 2 EGD tests shows there is ample recovery to drive home safely
490958 - 3 - 4 hours after the test.
490960 -  ..
490961 - Kendall said the VA requirement for a driver cannot be satisfied by
490962 - the patient waiting to drive home after anesthesia has subsided.  He
490963 - explained that a woman patient a year or so ago hit several cars while
490964 - driving home after an EGD test with mild anesthesia.  She then sued
490965 - the VA.  As a result, the VA has become risk averse refusing to let
490966 - any patient drive home because one patient couldn't cope.  What's
490967 - going to happen when someone sues the VA for an accident following a
490968 - procedure, where a they were taken home by a driver, but then later
490969 - drove to the store.  Will th VA require patients to be quarentined for
490970 - a few days?  Send them home with a monitor?
490972 -  ..
490973 - Asked Iris and Kendall to tell Doctor Lee there seems to be improvment
490974 - swallowing from taking medication the past few months, shown in the
490975 - case study on 101010 0744. ref SDS 3 QJ5I
490977 -  ..
490978 - Tomorrow will drive to San Francisco and try to arrange for doing the
490979 - EGD test in San Francisco, as discussed by the team today.
490981 -  ..
490982 - Iris said she will see the doctor tomorrow and let him know about
490983 - everything.
490984 -
490985 -            [On 101124 1625 telephone message confimrs EGD test
490986 -            scheduled GI Department VA Clinic Martinez CA, does not
490987 -            report solution for driver requirement. ref SDS 10 PS4O
490988 -
490989 -
490990 -
490991 -
4910 -