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: February 26, 2014 08:35 PM Wednesday; Rod Welch

VA Ezetimibe and Atorvastatin ordered refill to treat arterialsclorosis.

1...Summary/Objective
2...Ezetimibe and Atorvastatin Ordered Recover Hyperlipidemia


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CONTACTS 

SUBJECTS
VA Pharmacy Ezetimibe Order Refill Treat Cholesterol LDL 249 Prescri                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
5703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5703 -    ..
5704 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
5705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
570501 - Follow up ref SDS 94 0000. ref SDS 93 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
570502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
570503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
570504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
570505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
570507 -  ..
5706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5708 - Background                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
5709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
570901 - EGD on 101210, seems to show progress recovering from esophagitis; the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
570902 - doctor dilated the LESV from 11 to 14 cm, reported on 101210 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
570903 - ref SDS 49 XG6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
570905 -  ..
570906 - Follow up EGD planned for February, ref SDS 49 L94L.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
570908 -  ..
570909 - Doctor Lee prescribed doubling dose of Omeprazole to increse recover                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
570910 - from esophagitis, reported on 101210 0930. ref SDS 49 ZN4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
570912 -  ..
570913 - On 101216 appears Doctor Lee ordered refill for omeprazole. ref SDS 51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
570914 - 8785                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
570916 -  ..
570917 - On 110320 0750 ordered refill Omeprazole to treat Achalasia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
570918 - ref SDS 58 5N3O,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
570920 -  ..
570921 - On 110626 0721 ordered refill Omeprazole to treat Achalasia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
570922 - ref SDS 62 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
570924 -  ..
570925 - On 110913 2238 ordered refill Omeprazole to treat Achalasia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
570926 - ref SDS 63 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
570928 -  ..
570929 - On 120326 1549 ordered refill Omeprazole to treat Achalasia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
570930 - ref SDS 70 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
570932 -  ..
570933 - On 120330 1439 received refill Omeprazole to treat Achalasia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
570934 - ref SDS 71 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
570936 -  ..
570937 - On 120906 1100 Doctor Egan reduced dose Omeprazole 20 mg from 40 mg,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
570938 - which increased effective treatments with current prescription.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
570939 - ref SDS 74 W165                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
570941 -  ..
570942 - On 120925 1300 Doctor Lee increased dose Omeprazole 40 mg from 20 mg,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
570943 - which decreases effective treatments under current prescription.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
570944 - ref SDS 75 K37G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
570946 -  ..
570947 - On 120927 1214 could not order refill prescription for Omeprazole.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
570948 - ref SDS 76 3Z4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
570950 -  ..
570951 - On 121001 0820 VA ordered new prescription Omeprazole with 3 remaining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
570952 - refills, ref SDS 78 5N3O, VA also ordered Fluconazole 200 mg, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
570953 - not explained in the record, ref SDS 78 EO5H, and further which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
570954 - increases side effects for Rosuvastatin, ref SDS 78 0450, but on plus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
570955 - side Fluconazole resolves electrolytes abnormalites, in this case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
570956 - Total Bilirubin is nearly 100% over healthy range, causing peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
570957 - neuropathy. ref SDS 78 ZH6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
570959 -  ..
570960 - On 121003 1438 received in the mail Omeprazole with incorrect dose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
570961 - prescription. ref SDS 79 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
570963 -  ..
570964 - On 121003 1438 received in the mail RX # 10864663B which conflicts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
570965 - with RX #10864663A, ref SDS 78 5N3O and dose instructions to take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
570966 - pills twice a day, ref SDS 78 MH65, conflict with the doctor's order                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
570967 - to take 1 pill twice per day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
570969 -  ..
570970 - On 130416 1100 Doctor Lee reported the VA placed hold that prevented                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
570971 - patient from ordering any of 3 refills of Omeprazole; the doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
570972 - cancelled the prior order and placed new order for current                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
570973 - prescription with 3 refills of Omeprazole. 130416 1100, ref SDS 81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
570974 - RG9K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
570976 -  ..
570977 - On 130423 1140 received refill for Omeprazole. ref SDS 83 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
570979 -  ..
570980 - On 131115 0800 meeting Doctor Lee EGD Dilation, continued prescription                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
570981 - for Omeprazole to aid digestion. ref SDS 86 R74M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
570983 -  ..
570984 - On 131121 1604 ordered refill for Omeprazole. ref SDS 88 AG9I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
570986 -  ..
570987 - On 131205 1448 received prescription for Atorvastatin 20 MG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
570988 - ref SDS 91 5N3O, ordered by Doctor Alba during the meeting at the VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
570989 - on 131121 0930. ref SDS 87 6H6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
570991 -  ..
570992 - On 131219 0930 Doctor Alba ordered Ezetimibe 10 mg to take with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
570993 - Atorvastatin 10 mg, during meeting at VA. ref SDS 92 6H6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
570995 -  ..
570996 - On 131230 1450 received Ezetimibe from VA to combine with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
570997 - Atorvastatin. ref SDS 93 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
570999 -  ..
571000 - On 140127 1821 ordered refill Ezetimibe from VA. ref SDS 94 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
571002 -  ..
571003 - On 140201 1353 received refill Ezetimibe from VA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
571005 -  ..
571006 - On 140226 2035 ordered refill Atorvastatin and Ezetimibe from VA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
571007 - ref SDS 0 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
571008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
571009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
571010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
571012 -  ..
5711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5713 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
571401 - Ezetimibe and Atorvastatin Ordered Recover Hyperlipidemia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
571402 - 
571403 - Follow up ref SDS 94 5N3O, ref SDS 93 5N3O.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
571404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
571405 - Side effects Atorvastatin are listed on 130603 0930. ref SDS 84 PC6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
571407 -  ..
571408 - Side effects Ezetimibe are listed on 131125 0005. ref SDS 89 YA7F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
571410 -  ..
571411 - VA prescription refill website is at...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
571412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
571413 -              https://www.myhealth.va.gov/mhv-portal-web/anonymous.portal?_nfpb=true&_nfto=false&_pageLabel=mhvHome                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
571415 -  ..
571416 - Customer....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
571421 -  ..
571422 - On 131230 began taking Atorvastatin 10 mg with Ezetimibe 10 mg to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
571423 - manage cholesterol, shown in case study on medication, diet, exercise                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
571424 - and vitals on 120101 0900. ref SDS 66 6A6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
571426 -  ..
571427 - On 140127 1821 ordered refill Ezetimibe from VA, ref SDS 94 5N3O,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
571428 - following up initial order placed on 131219 0930. ref SDS 92 6H6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
571430 -  ..
571431 - On 140201 1353 received refill Ezetimibe 10 mg. ref SDS 95 YS4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
571433 -  ..
571434 - On 131205 1448 received prescription for Atorvastatin 20 MG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
571435 - ref SDS 91 5N3O, ordered by Doctor Alba during the meeting at the VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
571436 - on 131121 0930. ref SDS 87 6H6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
571438 -  ..
571439 - Only have 4 pills for Atorvastatin and Ezetimibe, so ordered refills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
571441 -  ..
571442 - VA's pharmacy website listed...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
571443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
571444 -                Refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
571445 -                Submit   Fill     Refills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
571446 -                Date     Date     Remaining   Prescription                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
571448 -         ..
571449 -        Submit  140127  140128       5        RX # 5693296                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
571450 -                                              Ezetimibe 10 MG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
571452 -         ..
571453 -        Active  131121  131121       1        RX # 24305273                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
571454 -                                              Omeprazole 20 MG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
571456 -         ..
571457 -        Active          131121       2        RX # 5674471                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
571458 -                                              Atorvastatin Calcium 20 MG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
571460 -  ..
571461 - Refill for Ezitimibe and Atorvastatin submitted today continues                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
571462 - current medication for another cycle, as planned during the meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
571463 - with Doctor Alba and Doctor Feingold at the San Francisco VA Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
571464 - Center, 140213 0830, ref SDS 96 GU4J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
571465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
571466 -            [On 120101 0900 did not receive prescription refill, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
571467 -            missed 1 day of treatment. ref SDS 67 4Q6I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
571469 -             ..
571470 -            [On 140307 1509 letter to VA reports delivery of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
571471 -            prescription refill ordered on 140226, ref SDS 0 4P5M, has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
571472 -            not been received for Atorvastatin and Ezetimibe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
571473 -            ref SDS 97 5N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
571475 -             ..
571476 -            [on 140307 1509 at 1730 VA letter reports plans to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
571477 -            investigate to resolve delayed delivery of prescription                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
571478 -            refill for Atorvastatin and Ezetimibe. ref SDS 97 MS9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
571480 -             ..
571481 -            [On 140311 1730 received prescription refill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
571482 -            Atorvastatin and Ezetimibe, delivered by neighbor because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
571483 -            mailman delivered to the wrong mailbox. ref SDS 98 YS4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
571484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
571505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
571506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
571507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
571508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
571509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
571510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
571511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
571512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
571513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
571514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
5716 -