CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 4 0000, ref SDS 2 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Met with Charlene at the customer counter in the GI Department,
040902 - following up meeting with Ray yesterday on 110606 1128. ref SDS 4 HC5H
040903 -
040904 -                925 372 2719
040906 -  ..
040907 - Charlene said that yesterday she reviewed the medical chart, and saw
040908 - that on 110429, Doctor Lee ordered follow EGD and dilation procedure
040909 - in 3 months, which would be on 110729. ref SDS 2 GP9I
040911 -  ..
040912 - We discussed Doctor Lee's work plan at that time for the VA to submit
040913 - notice of the date and time for the next procedure at the end of July.
040914 - The doctor advised that, if the VA computer fails to schedule the work
040915 - for 0730, he will correct the problem, as shown in patient history
040916 - meeting with the doctor on 110429 1230. ref SDS 2 LJ6J
040918 -  ..
040919 - So far, the VA has not submitted notice scheduling the next meeting at
040920 - the end of July.
040922 -  ..
040923 - Charlene said there was a mistake.
040925 -  ..
040926 - She explained that someone posted the VA computer for follow up on
040927 - July 31, which calculates to 3 months after the prior procedure on
040928 - 110429, but that date is on Sunday.  Since the VA is closed on
040929 - weekends, the computer did not schedule the work.
040931 -  ..
040932 - Asked about scheduling the work on Friday, 110729 0730, which is 3
040933 - months after the prior procedure?
040935 -  ..
040936 - Charlene said the computer has already scheduled Doctor Lee's work for
040937 - all of July, so she cannot correct the mistake to comply with the
040938 - doctor's order.
040940 -  ..
040941 - Charlene said the computer shows the earliest Doctor Lee can do the
040942 - procedure is on 110812 at 1400.
040944 -  ..
040945 - We reviewed the the doctor's work plan to do the work at 0730,
040946 - reported on 110429 1230. ref SDS 2 LJ6J
040948 -  ..
040949 - Charlene said she can schedule the work for 110819 0830, and asked if
040950 - that would be okay?  She explained that biopsies are scheduled at 0730
040951 - on Fridays, so rather than squeeze in an EGD dilation at the same
040952 - time, she recommended scheduling the work for 0830.
040953 -
040954 -            [On 110617 0632 notified Kathy that next EGD is 110819.
040955 -            ref SDS 5 158Q
040957 -  ..
040958 - This was agreed.
040960 -  ..
040961 - Charlene posted the computer for the procedure 3 months after the work
040962 - on 110819, which will be on Friday in mid- November.  She feels this
040963 - will avoid scheduling problems in November to implement Doctor Lee's
040964 - treatment plan for EGD/Dilation procedures on 3 month intervals, per
040965 - above. ref SDS 0 9Q6V
040967 -  ..
040968 - Charlene said the VA will send a letter confirming the schedule
040969 - for EDG and dilation on 110819 0830.
040971 -  ..
040972 - Thanked Charlene for solving scheduling problems today.
040974 -  ..
040975 - During the meeting, Doctor Lee walked through the GI Control Center.
040977 -  ..
040978 - Requested meeting with Doctor Lee for 5 minutes.
040980 -  ..
040981 - The doctor could not meet at that moment.
040983 -  ..
040984 - Ray will ask Doctor Lee to call later today for a consultation on
040985 - following issues...
040986 -
040987 -               [On 110810 0930 submitted letter to Charlene asking
040988 -               Doctor Lee for a meeting. ref SDS 6 VU46
040989 -
040990 -               [On 110811 1644 received telephone message scheduling
040991 -               meeting on 110817 1030, but no indication for the
040992 -               purpose of the meeting. ref SDS 7 LR7H
040993 -
040994 -        1.  What was the dilation dimension for work on 110429, which
040995 -            was represented to be the size of a "ring finger"? shown in
040996 -            Discharge document received on 110429 1230, ref SDS 2 SS5R
040998 -             ..
040999 -            Medical chart received on 110520, shows 16 mm in addendum
041000 -            to Pre-proc Exam Assmnt 50440, 110520 1537, ref SDS 3 LX5I,
041001 -            which seems conflicting with Procedures progress notes item
041002 -            #6, and prepared after Pre-proc document, and shows 18 mm.
041003 -            110520 1537, ref SDS 3 QO4I
041005 -             ..
041006 -        2.  Need biopsy report for work on 110429, which is not
041007 -            included in the medical chart, according to Wilma in ROI
041008 -            Department, reported on 110520.
041010 -             ..
041011 -        3.  Omeprazole 40 mg daily - Discharge document says "Do not
041012 -            change Omeprazole dose now 40 mg daily," reported on 110429
041013 -            1230. ref SDS 2 GP7I  Continuing Omeprazole 40 mg daily
041014 -            changes prescription for Omeprazole 80 mg per day, entered
041015 -            in the record for EGD dilation procedure on 101210 0930.
041016 -            ref SDS 1 5I5H
041018 -             ..
041019 -        4.  Photographs missing from medical chart showing findings
041020 -            from EGD on 110429, reported in the record on 110520 1537.
041021 -            ref SDS 3 548L
041023 -             ..
041024 -        5.  Nurse Pre-proc check list fails to report difficulty
041025 -            setting IV; extending time between procedures from 3 to 4
041026 -            months, may help solve problem, reported on 110520 1537,
041027 -            ref SDS 3 GV6O, and citing case study on 110429 1230.
041028 -            ref SDS 2 UN6K
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041030 -
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0411 -