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: March 26, 2012 03:49 PM Monday; 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 63 0000. ref SDS 62 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 63 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
360928 -  ..
360929 - On 120326 1549 ordered refill Omeprazole to treat Achalasia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
360930 - ref SDS 0 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
360931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
360932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
360933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
360934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
360935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
360937 -  ..
3610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3612 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
361301 - Omeprazole Medication Order Prescription Refill Recover Achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
361302 - 
361303 - Follow up ref SDS 63 5N3O. ref SDS 62 5N3O.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
361304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361305 - There are about 6 days of Omeprazole pills remaining, following prior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
361306 - refill ordered on 110913, ref SDS 63 5N3O, and received on 110917,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
361307 - ref SDS 64 5N3O.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
361309 -  ..
361310 - Omebrazole treatment was stopped on 111201, to avoid high blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361311 - pressure, reported in case study on patient history for diet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
361312 - exercise, medications, and vitals listed in the record for 101010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
361313 - 0744. ref SDS 46 734L, and further citing spreadsheet case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
361314 - blood pressure changes over the past 18 months, also on 111201 0928.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
361315 - ref SDS 65 ZM5H  Research showing high blood pressure is an infrequent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
361316 - side effect of Omeprazole was reported a year earlier on 101218 1642.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
361317 - ref SDS 52 1J5G  About 2 days later suffered severe negative response                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
361318 - from stopping Omeprazole entirely, so added 1 pill per day on 1101203,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
361319 - reported in case study on 101010 0744, ref SDS 46 ZU8M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
361321 -  ..
361322 - This change was reported to the doctor again in the meeting at the VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
361323 - on 120322 1030. ref SDS 67 UH5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
361325 -  ..
361326 - Ordered refill for Omeprazole using VA Internet prescription services,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
361327 - accessed VA online Pharmacy to order refills explained in the record                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
361328 - on 070312 1200. ref SDS 4 749G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
361330 -  ..
361331 - VA's pharmacy website lists 2 active medications...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
361332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361333 -                Refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
361334 -                Submit   Fill     Refills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
361335 -                Date     Date     Remaining   Prescription                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
361336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361337 -    1.  Active  120326               2        RX # 10864663A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
361338 -                                              Omeprazole 20 MG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
361340 -         ..
361341 -    2.  Active  120215   120216      0        RX # 10971644                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
361342 -                                              Rosuvastatin 40 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361344 -  ..
361345 - First entry is for Omeprazole, so ordered refill, leaving 2 refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
361346 - still available.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
361347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361348 -            [On 120330 1439 received Omeprazole prescription refill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
361349 -            120330 1439, ref SDS 68 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
361351 -  ..
361352 - Refill order today follows up order placed 7 months ago on 110913                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
361353 - 2238. ref SDS 63 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
361355 -  ..
361356 - The second entry is for Rosuvastatin, which was refilled as shown in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
361357 - the record on 120208 1649. ref SDS 66 FQ9F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
361358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
3614 -