THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rod@welchco.com


S U M M A R Y


DIARY: September 13, 2011 10:38 PM Tuesday; Rod Welch

VA ordered refill Omeprazole treat esophagitis and achalasia.

1...Summary/Objective
2...Omeprazole Medication Order Prescription Refill Recover Achalasia


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CONTACTS 

SUBJECTS
VA Pharmacy Omeprazole Order Refill Continue Treat Esophagitis Presc                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
3603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3603 -    ..
3604 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
3605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
360501 - Follow up ref SDS 62 0000. ref SDS 58 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
360502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
360503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
360504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
360505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
360507 -  ..
3606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3608 - Background                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
3609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
360901 - EGD on 101210, seems to show progress recovering from esophagitis; the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
360902 - doctor dilated the LESV from 11 to 14 cm, reported on 101210 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
360903 - ref SDS 49 XG6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
360905 -  ..
360906 - Follow up EGD planned for February, ref SDS 49 L94L.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
360908 -  ..
360909 - Doctor Lee prescribed doubling dose of Omeprazole to increse recover                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
360910 - from esophagitis, reported on 101210 0930. ref SDS 49 ZN4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
360912 -  ..
360913 - On 101216 appears Doctor Lee ordered refill for omeprazole. ref SDS 51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
360914 - 8785                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
360916 -  ..
360917 - On 110320 0750 ordered refill Omeprazole to treat Achalasia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
360918 - ref SDS 58 5N3O,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
360920 -  ..
360921 - On 110626 0721 ordered refill Omeprazole to treat Achalasia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
360922 - ref SDS 62 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
360924 -  ..
360925 - On 110913 2238 ordered refill Omeprazole to treat Achalasia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
360926 - ref SDS 0 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
360927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
360928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
360930 -  ..
3610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3612 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
361301 - Omeprazole Medication Order Prescription Refill Recover Achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
361302 - 
361303 - Follow up ref SDS 62 5N3O, ref SDS 59 SS8I.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
361304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361305 - There are about 8 days of Omeprazole pills remaining.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
361307 -  ..
361308 - Ordered refill using VA Internet prescription services, explained in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
361309 - the record on 070312 1200. ref SDS 4 749G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361311 -  ..
361312 - VA's pharmacy website lists 2 active medications...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
361313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361314 -                Refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
361315 -                Submit   Fill     Refills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
361316 -                Date     Date     Remaining   Prescription                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
361317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361318 -    1.  Active  110913               1        RX # 10864663                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
361319 -                                              Omeprazole 20 MG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
361321 -    2.   ..
361322 -        Active  120215   120216      2        RX # 10971644                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
361323 -                                              Rosuvastatin 40 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361325 -  ..
361326 - First entry is for Omeprazole, so ordered refill, leaving 1 refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
361327 - still available.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
361328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361329 -            [On 110917 1352 received refill for Omerprzole.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
361330 -            ref SDS 63 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
361331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361332 -            [On 111201 Omebrazole treatment was stopped to avoid high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
361333 -            blood pressure, reported in case study on patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
361334 -            for diet, exercise, medications, and vitals listed in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
361335 -            record for 101010 0744. ref SDS 46 734L, and further citing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
361336 -            spreadsheet case study on blood pressure changes over the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
361337 -            past 18 months, also on 111201 0928. ref SDS 64 ZM5H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
361338 -            Research showing high blood pressure is an infrequent side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
361339 -            effect of Omeprazole was reported a year earlier on 101218                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
361340 -            1642, ref SDS 52 1J5G; 2 days later suffered severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
361341 -            response stopping Omeprazole entirely, so added 1 pill per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
361342 -            day on 1101203, reported in case study on 101010 0744,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
361343 -            ref SDS 46 ZU8M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
361345 -             ..
361346 -            [On 120322 1030 notified Doctor Lee during meeting at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
361347 -            changed dose for Omeprazole to reduce sudden increase from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
361348 -            low to high blood pressure. ref SDS 65 UH5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
361350 -             ..
361351 -            [On 120326 1549 ordered refill for Omeprazole.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
361352 -            ref SDS 66 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
361354 -  ..
361355 - Refill order today follows up order placed 3 months ago on 110626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
361356 - 0721. ref SDS 62 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
361358 -  ..
361359 - The second entry is for Rosuvastatin, which was changed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
361360 - simvastatin in the meeting at the VA on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
361361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
3614 -