CONTACTS 

SUBJECTS
VA Medical Records Order CD Confirm Scope Request on 101207 Letter R

3003 -
3003 -    ..
3004 - Summary/Objective
3005 -
300501 - Follow up ref SDS 65 0000. ref SDS 63 0000.
300502 -
300503 -
300504 -
300506 -  ..
3006 -
3007 -
3008 - Progress
3009 -
300901 - Went to the VA for the CD on medical records requested in the letter
300902 - on 101213 1008, ref SDS 62 UN5L, and confirmed in a follow up letter
300903 - to the VA on Monday, 101220 1511, ref SDS 65 UN5L,
300905 -  ..
300906 - Met with Wilma.  She is back from bereavent leave.  Here husband died
300907 - recently.  Expressed deepest condolence.
300909 -  ..
300910 - Wilma got a copy of the letter to Shannon requesting medical records
300911 - to prepare for meeting with Doctor Sandhu tomorrow, reported on 101220
300912 - 1511. ref SDS 65 UN5L
300914 -  ..
300915 - Wilma said the CD requested on 101207 1152, ref SDS 59 DR7H, and
300916 - confirmed in the letter last week on 101213 1008, ref SDS 62 UN5L,
300917 - cannot be prepared because the doctor has not posted progress notes
300918 - for the meeting on 101210.  Follow up letter on 101220 requested
300919 - release of medical records on a CD by Wednesday in order to prepare
300920 - for meeting with the doctor in Primary Care tomorrow. ref SDS 65 UN5L
300922 -  ..
300923 - To help prepare for the meeting tomorrow, Wilma printed the lab on
300924 - 101207, and showing good news...
300925 -
300926 -            WBC................. 6.7 ........... 7,3 ...... 100721 0800, ref SDS D OT69
300927 -            PLT................. 310 ........... 344 ......
300928 -            NEUTS............... 71 ............ 75.6 .....
300929 -            Glucose............. 103 drop....... 117 ...... 100721 0800, ref SDS 42 GM65
300930 -            Choles.............. 151 big drop... 265 ...... 100721 0800, ref SDS 42 E19L
300931 -            Triglyc............. 41 ............  87 ......
300932 -            HDL................. 47 ............  35
300933 -            LDL................. 96 ............ 209
300935 -  ..
300936 - Wilma suggested checking with the GI Department down the hall about
300937 - when the record on the procedure for 101210 will be entered in the VA
300938 - records system.
300939 -
300940 -
300942 -  ..
3010 -
3011 -
3012 - 0833
3013 -
301301 - After meeting with Wilma in ROI, per above, ref SDS 0 UN5L, checked at
301302 - the front counter at the GI Departent which is down the hall from ROI
301303 - on the 2nd floor.
301305 -  ..
301306 - Talked to Rosi at the custome counter.  Asked to speak with Doctor
301307 - Lee's assistant about progress transcribing the doctor's notes into
301308 - the Medical Chart for meeting on 101210, and increasing side effects
301309 - from increasing the dose of Omeprazole 2 weeks ago on 101210.
301310 - ref SDS 61 ZN4M
301312 -  ..
301313 - Met briefly with Chris.
301315 -  ..
301316 - Chris indicated he will investigate delay transcribing the doctor's
301317 - notes for the medical chart on the EGD performed 101210, discussed at
301318 - that time with the doctor. ref SDS 61 I94I
301319 -
301320 -            [On 110103 1314 Ray cannot find Progress Notes for meeting
301321 -            at VA on 101210 for EGD in VA computer system; Kendal will
301322 -            coordinate with Doctor Lee on completing the record.
301323 -            ref SDS 66 QP8U
301325 -  ..
301326 - Chris received the letter notifying Doctor Lee of severe adverse side
301327 - effects, sent on 121019, ref SDS 64 5N3O, from increasing the dose for
301328 - Omeprazole 2 weeks ago on 101210. ref SDS 61 ZN4M
301330 -  ..
301331 - Chris explained that Doctor Lee is on vacation this week before
301332 - Christmas.  This aligns with typical Holiday Season hectic schedule
301333 - when many people take time-off.
301335 -  ..
301336 - Chris went into the treatment area to consult with Iris or Kim, who
301337 - have been very helpful assisting Doctor Lee with case management,
301338 - shown by work on 101116 1542. ref SDS 52 RO74  He will ask if anyone
301339 - has time to consider reducing the dose and/or other remedies to avoid
301340 - injury and recover from side effects taking Omerprazole dose increased
301341 - 400%.
301343 -  ..
301344 - While Chris was investigating a solution, Tom walked down the hallway
301345 - and said hello.  Tom was Doctor Lee's assistant for EGD and dilation
301346 - procedure on 101210 0930. ref SDS 61 IR4J  Today, Tom was very cordial
301347 - and complementary on successfully completing the procedure without
301348 - anesthesia for sedation.  Thanked Tom for helping get through a
301349 - difficult and stressful procedure, and commended VA teamwork.
301351 -  ..
301352 - Chris returned about 5 minutes later.
301354 -  ..
301355 - He has talked to Doctor Lee's backup, who has a solution after he
301356 - completes work with another patient.
301358 -  ..
301359 - When the doctor's schedule permits later today, Chris will assist the
301360 - backup doctor review on the computer issues to resolve set out in the
301361 - letter on 101219 1402, ref SDS 64 5N3O, and submit the doctor's
301362 - recommendations.
301363 -
301365 -  ..
3014 -
3015 -
3016 - 1700
3017 -
301701 - Have not received VA response.
301702 -
301703 -
301704 -
301705 -
301706 -
301707 -
3018 -