Welch Company
San Francisco, CA
S U M M A R Y
DIARY: November 21, 2011 05:27 PM Monday;
Rod Welch
VA ordered rosuvastatin cheolesterol medication.
1...Summary/Objective
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CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 8 0000, ref SDS 7 0000.
040502 -
040503 -
040505 - ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - On 110823, received from VA in US mail rosuvastatin 20 mg, ref SDS 8
040902 - UY5G, prescribed to take 10 mg per day, to replace simvastatin 40 mg,
040903 - and in lieu of increasing prescription to simvastatin 80 mg, and to
040904 - implement order by Doctor Egan at VA on 110817 1030. ref SDS 7 DG36
040906 - ..
040907 - Now running out of pills, so ordered refill on prescription.
040909 - ..
040910 - Background on ordering prescriptions from VA are listed on 110804
040911 - 1026. ref SDS 6 5N3O, and citing the record on 070312 1200.
040912 - ref SDS 1 749G
040914 - ..
040915 - Ordered refill on prescription for...
040916 -
040917 - Rosuvastatin 20 mg........................ RX#10927080
040918 - Fill Date................................. 111121
040919 - Quantity.................................. 45 20 mg
040920 - Refills Remaining......................... 2
040921 - Expiratioh date........................... 120803
040922 -
040924 - ..
040925 - Cholesterol increased significantly past 3 months, shown in lab on
040926 - 111117, ref SDS 10 IM9N, after switching from Simvistatin 40 mg to
040927 - Rosuvastatin 10 mg, starting on 110823. 110823 1312, ref SDS 8 UY5G
040929 - ..
040930 - Increased cholesterol may be caused by...
040931 -
040932 - 1. Rosuvastatin 10 mg dose too low - need 20 mg.
040934 - ..
040935 - 2. Hiking reduced last 3 weeks, from 40 miles to 2 miles per
040936 - week due to providing patient case management starting on
040937 - 111030, shown case study on 101010 0744. ref SDS 4 UT6K
040939 - ..
040940 - 3. Rosuvastatin pills left in Nipomo week pior to lab, so
040941 - missed 1 week treatment until pills received in mail, shown
040942 - in case study on 101010 0744. ref SDS 4 WWSQ
040944 - ..
040945 - Blood pressure increased suddenly 2 months after taking Rosuvastatin,
040946 - and beginning about 3 weeks ago on 110101, shown in case study on
040947 - 101010 0744. ref SDS 4 H14I Higher blood pressure may correlate to
040948 - increased cholesterol narrowing arteries.
040950 - ..
040951 - Rosuvastatin Side effects - research listed on 110802 1639.
040952 - ref SDS 5 JH7N
040954 - ..
040955 - At this time, after 3 months taking Rosuvastatin only evident side
040956 - effects taking Rosuvastatin...
040957 -
040958 - 1. Urination increased cited on............. 110802 1639, ref SDS 5 IT9N
040959 - Urination increased cited on............. 110802 1639, ref SDS 5 E26O
040960 -
040961 - Similar effects to IV lasix taken post CABG, reported on
040962 - 091102 0642, ref SDS 2 WB8Q, and on discharge in pill form
040963 - ordered on 091104 0718. ref SDS 3 V25R
040965 - ..
040966 - Could not drive 3.3 hours without stopping on 111119 0933.
040967 - ref SDS 11 CJ9O
040969 - ..
040970 - 2. Sleep difficulty......................... 110802 1639, ref SDS 5 L65N
040971 -
040972 - Difficult to pinpoint this to Rosuvastatin, since normally
040973 - work past midnight.
040974 -
040976 - ..
040977 - Benefits ending Simvastatn on 110823...
040978 -
040979 - 1. Myopathy left shoulder noticably improved - can do pushups
040980 - again. Range of motion left arm greatly expanded. Still
040981 - have pain lifting left arm above horizontal and reaching
040982 - behind line between shoulders.
040984 - ..
040985 - 2. Total Bilirubin dropped from 3.0 to 1.3.
040987 - ..
040988 - Work Plan possibilities...
040989 -
040990 - 1. Rosuvastatin 20 mg increase from 10 mg
040991 - 2. Maintain daily dose avoid lapses Rosuvastatin 20 mg
040992 - 3. Hiking increase from 2 back to 40 miles per week.
040994 - ..
040995 - Risks - side effects may increase...
040996 -
040997 - 1. Myopathy
040998 - 2. Urination frequency with collateral damage.
040999 - 3. Other side effects from long list on 110802 1639. ref SDS 5 QI3K
041000 -
041001 -
041002 -
041003 -
041004 -
041005 -
0411 -