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: December 30, 2013 02:50 PM Monday; Rod Welch

Ezetimibe from VA to treat arterialsclorosis combine with Atorvastatin.

1...Summary/Objective
2...Ezetimibe Medication Received Today Recover Hyperlipidemia


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CONTACTS 

SUBJECTS
VA Pharmacy Omeprazole Refill Receive Treat Esophagitis Prescription                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
5103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5103 -    ..
5104 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
5105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
510501 - Follow up ref SDS 86 0000. ref SDS 85 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
510502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510508 -  ..
5106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5108 - Background                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
5109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
510901 - EGD on 101210, seems to show progress recovering from esophagitis; the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
510902 - doctor dilated the LESV from 11 to 14 cm, reported on 101210 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
510903 - ref SDS 49 XG6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
510905 -  ..
510906 - Follow up EGD planned for February, ref SDS 49 L94L.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
510908 -  ..
510909 - Doctor Lee prescribed doubling dose of Omeprazole to increse recover                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
510910 - from esophagitis, reported on 101210 0930. ref SDS 49 ZN4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
510912 -  ..
510913 - On 101216 appears Doctor Lee ordered refill for omeprazole. ref SDS 51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
510914 - 8785                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
510916 -  ..
510917 - On 110320 0750 ordered refill Omeprazole to treat Achalasia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
510918 - ref SDS 58 5N3O,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
510920 -  ..
510921 - On 110626 0721 ordered refill Omeprazole to treat Achalasia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
510922 - ref SDS 62 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
510924 -  ..
510925 - On 110913 2238 ordered refill Omeprazole to treat Achalasia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
510926 - ref SDS 63 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
510928 -  ..
510929 - On 120326 1549 ordered refill Omeprazole to treat Achalasia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
510930 - ref SDS 69 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
510932 -  ..
510933 - On 120330 1439 received refill Omeprazole to treat Achalasia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
510934 - ref SDS 70 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
510936 -  ..
510937 - On 120906 1100 Doctor Egan reduced dose Omeprazole 20 mg from 40 mg,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
510938 - which increased effective treatments with current prescription.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510939 - ref SDS 73 W165                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
510941 -  ..
510942 - On 120925 1300 Doctor Lee increased dose Omeprazole 40 mg from 20 mg,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
510943 - which decreases effective treatments under current prescription.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
510944 - ref SDS 74 K37G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
510946 -  ..
510947 - On 120927 1214 could not order refill prescription for Omeprazole.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
510948 - ref SDS 75 3Z4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
510950 -  ..
510951 - On 121001 0820 VA ordered new prescription Omeprazole with 3 remaining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
510952 - refills, ref SDS 77 5N3O, VA also ordered Fluconazole 200 mg, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
510953 - not explained in the record, ref SDS 77 EO5H, and further which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
510954 - increases side effects for Rosuvastatin, ref SDS 77 0450, but on plus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
510955 - side Fluconazole resolves electrolytes abnormalites, in this case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
510956 - Total Bilirubin is nearly 100% over healthy range, causing peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
510957 - neuropathy. ref SDS 77 ZH6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
510959 -  ..
510960 - On 121003 1438 received in the mail Omeprazole with incorrect dose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
510961 - prescription. ref SDS 78 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
510963 -  ..
510964 - On 121003 1438 received in the mail RX # 10864663B which conflicts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
510965 - with RX #10864663A, ref SDS 77 5N3O and dose instructions to take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
510966 - pills twice a day, ref SDS 77 MH65, conflict with the doctor's order                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
510967 - to take 1 pill twice per day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
510969 -  ..
510970 - On 130416 1100 Doctor Lee reported the VA placed hold that prevented                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
510971 - patient from ordering any of 3 refills of Omeprazole; the doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
510972 - cancelled the prior order and placed new order for current                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
510973 - prescription with 3 refills of Omeprazole. 130416 1100, ref SDS 80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
510974 - RG9K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
510976 -  ..
510977 - On 130423 1140 received refill for Omeprazole. ref SDS 82 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
510979 -  ..
510980 - On 131115 0800 meeting Doctor Lee EGD Dilation, continued prescription                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
510981 - for Omeprazole to aid digestion. ref SDS 84 R74M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
510983 -  ..
510984 - On 131121 1604 ordered refill for Omeprazole. ref SDS 85 AG9I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
510986 -  ..
510987 - On 131219 0930 Doctor Alba ordered Ezetimibe 10 mg to take with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510988 - Atorvastatin 10 mg, during meeting at VA. ref SDS 87 6H6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510992 -  ..
5110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5112 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
511301 - Ezetimibe Medication Received Today Recover Hyperlipidemia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
511302 - 
511303 - Follow up ref SDS 86 5N3O, ref SDS 85 5N3O.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
511305 -  ..
511306 - VA prescription refill website is at...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
511307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
511308 -              https://www.myhealth.va.gov/mhv-portal-web/anonymous.portal?_nfpb=true&_nfto=false&_pageLabel=mhvHome                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
511310 -  ..
511311 - Customer....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
511316 -  ..
511317 - Medicine received today satisfies order placed on 131219 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
511318 - ref SDS 87 6H6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
511319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
511320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
511322 -  ..
5114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5116 - 1515                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
5117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
511701 - VA's pharmacy website listed...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
511702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
511703 -                Refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
511704 -                Submit   Fill     Refills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
511705 -                Date     Date     Remaining   Prescription                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
511707 -         ..
511708 -        Active          131222       6        RX # 5693296                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
511709 -                                              Omeprazole 20 MG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
511711 -         ..
511712 -        Active          131122       1        RX # 24305273                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
511713 -                                              Omeprazole 20 MG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
511715 -         ..
511716 -        Refill in       131121       2        RX # 5674471                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
511717 -        Process                               Atorvastatin Calcium 20 MG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
511718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
511720 -  ..
511721 - This medicine implements planning during the meeting with Doctor Alba                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
511722 - at the San Francisco VA Medical Center on 131219 0930. ref SDS 87 6H6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
511724 -  ..
511725 - Today, began taking Atorvastatin 10 mg with Ezetimibe 10 mg to manage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
511726 - cholesterol, shown in case study on medication, diet, exercise and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
511727 - vitals on 120101 0900. ref SDS 66 6A6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
511728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
511729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
511730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
511731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
511732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
511733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
511734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
511735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
5118 -