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: April 6, 2013 05:08 PM Saturday;
Rod Welch
Omeprazole ordered from VA to treat esophagitis achalasia.
1...Summary/Objective
2...Omeprazole Medication Prescription Refill Recover Achalasia
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CONTACTS
SUBJECTS
VA Pharmacy Omeprazole Refill Receive Continue Treat Esophagitis Pre
4503 -
4503 - ..
4504 - Summary/Objective
4505 -
450501 - Follow up ref SDS 77 0000. ref SDS 76 0000.
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450506 -
450508 - ..
4506 -
4507 -
4508 - Background
4509 -
450901 - EGD on 101210, seems to show progress recovering from esophagitis; the
450902 - doctor dilated the LESV from 11 to 14 cm, reported on 101210 0930,
450903 - ref SDS 49 XG6J
450905 - ..
450906 - Follow up EGD planned for February, ref SDS 49 L94L.
450908 - ..
450909 - Doctor Lee prescribed doubling dose of Omeprazole to increse recover
450910 - from esophagitis, reported on 101210 0930. ref SDS 49 ZN4M
450912 - ..
450913 - On 101216 appears Doctor Lee ordered refill for omeprazole. ref SDS 51
450914 - 8785
450916 - ..
450917 - On 110320 0750 ordered refill Omeprazole to treat Achalasia,
450918 - ref SDS 58 5N3O,
450920 - ..
450921 - On 110626 0721 ordered refill Omeprazole to treat Achalasia.
450922 - ref SDS 62 5N3O
450924 - ..
450925 - On 110913 2238 ordered refill Omeprazole to treat Achalasia,
450926 - ref SDS 63 5N3O
450928 - ..
450929 - On 120326 1549 ordered refill Omeprazole to treat Achalasia,
450930 - ref SDS 68 5N3O
450932 - ..
450933 - On 120330 1439 received refill Omeprazole to treat Achalasia.
450934 - ref SDS 69 5N3O
450936 - ..
450937 - On 120906 1100 Doctor Egan reduced dose Omeprazole 20 mg from 40 mg,
450938 - which increased effective treatments with current prescription.
450939 - ref SDS 72 W165
450941 - ..
450942 - On 120925 1300 Doctor Lee increased dose Omeprazole 40 mg from 20 mg,
450943 - which decreases effective treatments under current prescription.
450944 - ref SDS 73 K37G
450946 - ..
450947 - On 120927 1214 could not order refill prescription for Omeprazole.
450948 - ref SDS 74 3Z4M
450950 - ..
450951 - On 121001 0820 VA ordered new prescription Omeprazole with 3 remaining
450952 - refills, ref SDS 76 5N3O, VA also ordered Fluconazole 200 mg, which is
450953 - not explained in the record, ref SDS 76 EO5H, and further which
450954 - increases side effects for Rosuvastatin, ref SDS 76 0450, but on plus
450955 - side Fluconazole resolves electrolytes abnormalites, in this case
450956 - Total Bilirubin is nearly 100% over healthy range, causing peripheral
450957 - neuropathy. ref SDS 76 ZH6J
450959 - ..
450960 - On 121003 1438 received in the mail Omeprazole with incorrect dose
450961 - prescription. ref SDS 77 5N3O
450963 - ..
450964 - On 121003 1438 received in the mail RX # 10864663B which conflicts
450965 - with RX #10864663A, ref SDS 76 5N3O and dose instructions to take 2
450966 - pills twice a day, ref SDS 76 MH65, conflict with the doctor's order
450967 - to take 1 pill twice per day.
450968 -
450969 -
450970 -
450972 - ..
4510 -
4511 -
4512 - Progress
4513 -
451301 - Omeprazole Medication Prescription Refill Recover Achalasia
451302 -
451303 - Follow up ref SDS 77 5N3O, ref SDS 76 5N3O.
451305 - ..
451306 - Today, tried to access VA prescription refill website...
451307 -
451308 - https://www.myhealth.va.gov/mhv-portal-web/anonymous.portal?_nfpb=true&_nfto=false&_pageLabel=mhvHome
451310 - ..
451311 - Customer....
451316 - ..
451317 - Was unable to logon. VA reported could not process request, could be
451318 - their servier is down. Will try again later.
451320 - ..
451321 - Someone could have tried making an improvement and broke something.
451322 -
451324 - ..
4514 -
4515 -
4516 - 2147
4517 -
451701 - Tried to access VA Pharmacy again.
451702 -
451703 - So far cannot order refills.
451704 -
451705 - [On 130416 1100 meeting with Doctor Lee - he explained
451706 - Doctor Sandhu or someone blocked access to prescription
451707 - refills; Doctor Lee cancelled prior prescription for
451708 - Omeprazole and entered a new prescription with 3 refills.
451709 - ref SDS 78 RG9K
451711 - ..
451712 - [On 130419 0638 VA Internet medication prescription report
451713 - shows Omeprazole ordered 130417 and there are 3 refills
451714 - available. ref SDS 79 MJ7M
451716 - ..
451717 - [On 130423 1140 received refill for Omeprazole. ref SDS 80
451718 - 5N3O
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4518 -