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.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
450502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
450503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
450504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
450505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
451719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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4518 -