CONTACTS
SUBJECTS
CBC Lab WBC VA No Results
2003 -
2003 - ..
2004 - Summary/Objective
2005 -
200501 - Follow up ref SDS 71 0000. ref SDS 70 0000.
200502 -
200503 -
200504 -
200505 -
200506 -
200508 - ..
2006 -
2007 -
2008 - Background
2009 -
200901 - On 131016 1632 submit letter for agenda meeting to review lab results
200902 - scheduled 131017 1000. ref SDS 37 X45G
200904 - ..
200905 - On 140131 0815 ordered another lab - cbc, electrolytes, lipid with NMR
200906 - - from Labcor to get LDL-P. ref SDS 47 X45G
200908 - ..
200909 - On 140201 1159 had full lab with NMR lipid panel drawn at John Muir
200910 - Hospital on Treat, and by Labcorp. ref SDS 48 RP4N
200912 - ..
200913 - On 140203 1147 had partial lab drawn at VA in Martinez. ref SDS 49
200914 - KK9M
200916 - ..
200917 - On 140507 0857 ordered another full lab from Labcorp with NMR lipid
200918 - panel. ref SDS 55 OO5G
200920 - ..
200921 - On 140508 1133 lab blood daw at Labcorp with John Muir Medical Center
200922 - on Treat Blvd in Concord. ref SDS 56 445G
200924 - ..
200925 - On 140514 0950 VA partial lab at Medical Center in San Francisco.
200926 - ref SDS 58 X45G
200928 - ..
200929 - On 140518 0920 letter to VA submits consolidated blood tests from
200930 - Labcorp on 140508 and the VA on 140514, to prepare for the meeting on
200931 - 140519. ref SDS 60 1V6M Advise that VA has not ordered follow up lab
200932 - to check Electrolytes (Chem Profile) requested by Doctor Egan to
200933 - assess previously elevated potassium (K) 5.6, that cause electrical
200934 - problems for the heart. ref SDS 60 DV4M Medication side effects of
200935 - dizziness have subsided. ref SDS 60 DV50 Dry mouth and urination have
200936 - increased. ref SDS 60 DV56 Peripheral neuropathy related to elevated
200937 - bilirubin has recurred. ref SDS 60 DV59
200939 - ..
200940 - On 140518 0920 at 2244 received letter from Doctor Alba notifying not
200941 - to get blood draw at lab prior to meeting with medical team tomorrow
200942 - morning. ref SDS 60 RW7O
200944 - ..
200945 - On 140520 0732 background and planning for getting supplemental labs
200946 - on electrolyte (Chem Profile), and EPC. ref SDS 62 X45G
200948 - ..
200949 - On 140520 0732 at 0743 letter requests VA order electrolyte (Chem
200950 - Profile) lab order today. ref SDS 62 YW4H, and include lab for EPC.
200951 - ref SDS 62 4U46 Doctor Sandhu notified that medical team in San
200952 - Francisco discusses increased urination indicates possible prostate
200953 - issues. ref SDS 62 4U95 During meeting on 140519, decided that mild
200954 - symptoms peripheral neuropathy possibly due to statin treatment does
200955 - not justify ending statin tratement, because treatments have been
200956 - effective managing lipids. ref SDS 62 4U4F
200958 - ..
200959 - On 140520 0732 at 0812 letter from VA advises Doctor Alba will order
200960 - Chem Profile lab when she arrives at the hospital. ref SDS 62 4V5H
200962 - ..
200963 - On 140520 0732 at 1017 VA partial lab at Medical Center in San
200964 - Franciso for electrolyte (Chem) panel that was omitted on lab 140514.
200965 - ref SDS 62 KK9M Glucose, sodium, potassium declined, with potassium
200966 - (K 5.2) still at high end of range for Labcorp and slightly above VA
200967 - range, ref SDS 62 ZG5O; bilirubin declined dramatically. ref SDS 62
200968 - 015M
200970 - ..
200971 - On 140520 0732 at 1028 VA letter Doctor Alba requests clarification of
200972 - scope for EPC lab. ref SDS 62 654J Called to explain scope of EPC
200973 - lab, but encountered poor connection using cell phone. ref SDS 62 U63N
200975 - ..
200976 - On 140520 0732 at 1609 VA letter - Doctor Alba ordered EPC lab, she
200977 - advises EPC lab requires approval by lab staff of doctor's
200978 - justification. ref SDS 62 AF5L
200980 - ..
200981 - On 140520 0732 at 1617 letter to VA submits justification for doctor
200982 - to submit with order for EPC lab that saves lives, time, and money.
200983 - ref SDS 62 JP8O
200985 - ..
200986 - On 140522 1052 letter to Doctor Egan at Martinez submits results of
200987 - labs on Electrolyte Chem Profile showing Potassium, which Doctor Egan
200988 - requested. ref SDS 63 X45G
200990 - ..
200991 - On 140529 0942 letter to Doctor Alba at VA Medical Center in San
200992 - Francisco adise placed order with Release of Information Department to
200993 - submit Progress Notes for meeting on 140519, so no need for Doctor
200994 - Alba so submit. ref SDS 64 X45G Recommend correcting errors in prior
200995 - notes so they are carried forward in Progress Notes for meeting on
200996 - 140519. ref SDS 64 QF6T Recommend Progress Notes cite patient support
200997 - to improve lipid labs past 6 months, ref SDS 64 QF67, referencing the
200998 - lab report on 140514 0950, ref SDS 58 W25L, which also presents
200999 - extended exercise, weight loss, and diet changes. ref SDS 58 I17G
201000 - Asked about progress getting approval for EPC lab. ref SDS 64 QG3U
201001 - Request VA order coronary CT angiography with calcium score to
201002 - evaluate regression of athersclerosis, as a result of good labs from
201003 - medication and extended exercise the past 6 months. ref SDS 64 QG38
201005 - ..
201006 - On 140610 0930 letter asks again about publishing Progress Notes for
201007 - meeting at the VA on 140519. ref SDS 65 X45G Reminds to order EPC and
201008 - coronary CTA tests. ref SDS 65 LJ61 Customer offers to order EPC and
201009 - coronayr CTA tests in order to save time for the VA. ref SDS 65 LJ6L
201010 - Report peripheral neuropathy and urination symptoms have again
201011 - subsided. ref SDS 65 LJ6Y
201013 - ..
201014 - On 140610 0930 at 1115 letter from Doctor Alba advising that Progress
201015 - Notes for meeting on 140519, were completed last week. ref SDS 65 W84I
201017 - ..
201018 - On 140610 0930 at 1114 letter asks Doctor Alba about progress ordering
201019 - EPC lab and coronary CTA with calcium score, ref SDS 65 KH3O, repeating
201020 - request in the letter earlier this morning, ref SDS 65 LJ61, but not
201021 - discussed in Doctor Alba's letter received at 1115. ref SDS 65 W84I
201023 - ..
201024 - On 140612 1048 VA letter notifies refuse order coronary CTA to test
201025 - for level of atherosclerosis because history of CABG surgery on
201026 - 091022, shows coronary artery disease, which VA relies upon to
201027 - speculate plaques remain in arteries, therefore, CT angiography, is
201028 - not going to add any value to your current diagnoses or treatment.
201029 - ref SDS 66 X45G
201031 - ..
201032 - On 140626 1652 letter notify VA commend Doctor Alba correcting errors
201033 - in Progress Notes in prior meeting so they are not replicated in
201034 - Progress Notes for meeting on 140519. ref SDS 68 X45G Commend VA
201035 - timely prescription refill on Ezetibime and Atorvastatin. ref SDS 68
201036 - MY9Y Offer to defer lab on EPC to assess prospects for regression of
201037 - atherosclerosis, since EPC should be favorable based on increased
201038 - exercise that has increased WBC 50%. ref SDS 68 MY45 Review VA refusal
201039 - to order coronary CTA aligns with prior experience at Kaiser ordering
201040 - CT testing to evaluate pulmonary embolism. ref SDS 68 MY51 VA grounds
201041 - for refusing CTA testing that results will not aid care for patients
201042 - with CABG surgery, conflicts with the record showing CTA is commonly
201043 - performed to assess recovery from atherosclerosis who have undergone
201044 - CABG surgery. ref SDS 68 MZ33 Request recommendations for 2nd opinions
201045 - on CTA testing. ref SDS 68 MZ82
201047 - ..
201048 - On 140629 1921 report side effects of prescribed care metatasalgia
201049 - causing sore feet. ref SDS 70 UZ64 Efforts to resolve without medical
201050 - care have not been effective. ref SDS 70 U13R Request referral to
201051 - Podiatry for consultation. ref SDS 70 U14H
201053 - ..
201054 - On 140703 1938 letter from Doctor Alba at VA in San Francisco Medical
201055 - Center reports detailed discussion among medical team leading and
201056 - refused to order EPC lab. ref SDS 71 X45G The doctor recommends
201057 - getting 2nd opinion from Doctor Egan at VA Cardiology Clinic in
201058 - Martinez on CTA testing for regression of atherosclerosis. ref SDS 71
201059 - H233 Doctor Alba further recommends requesting from Primary Care at
201060 - VA Clinic in Martinez, referral to Podiatry to resolve metataslagia
201061 - side effects from implementing Plan of care in Progress Notes on
201062 - 140213. ref SDS 71 H240
201064 - ..
201065 - On 140703 1938 at 2023 letter to Doctor Alba at VA in San Francisco
201066 - Medical Center, requests details of discussion among medical team on
201067 - EPC issue. ref SDS 71 6X3V Notify VA customer will pay for cost of EPC
201068 - and CTA testing, request assistance - need doctor to order tests.
201069 - ref SDS 71 6X40 Advise VA Medical Center in San Francisco that during
201070 - a meeting on 140430, Doctor Egan at VA Cardiology Clinin in Martinez,
201071 - was consulted on CTA to evaluate regression of atherosclerosis, and
201072 - seemed to indicate it is impossible. ref SDS 71 6X43 Present research
201073 - showing expert opinion that regression of atherosclerosis occurs under
201074 - conditions of elevated EPC and HDL. ref SDS 71 6X46 Present benefits
201075 - of doing CTA test for regression of atherosclerosis. ref SDS 71 6X5G
201077 - ..
201078 - On 140703 1938 at 2023 letter to Doctor Alba at VA in San Francisco
201079 - Medical Center notfies have been unable to perform Plan of Care for
201080 - continuing physical activity prescribed in Progress Notes on 140213
201081 - 0830, ref SDS 52 E34O, hiking 11 miles per day due to metatarsalgis
201082 - side effects, and will implement recommendation to discuss referral to
201083 - Podiatry with Primary Care at VA Clinic in Martinez. ref SDS 71 6X57
201084 -
201085 -
201086 -
201088 - ..
2011 -
2012 -
2013 - Progress
2014 -
201401 - Letter received from Doctor Alba at VA Med Center in San Francisco,
201402 - and saying...
201403 -
201404 - 1. Subject: RE: Resole 2nd Pair Adidas Response Cushion Shoes
201405 - Date: 2014-07-10 12:35
201412 - ..
201413 - 2. If after discussing the issues of the CT scan and the EPC lab
201414 - with Dr Egan you still need the endocrine department to order
201415 - those tests, I would have to contact someone from my department
201416 - to see how to do that or if we are allowed or not.
201418 - ..
201419 - Doctor Alba responds to the letter submitted on 140703, notifying VA
201420 - that customer will pay the cost of EPC and CTA tests for regression of
201421 - atherosclerosis. ref SDS 71 6X40
201422 -
201423 - [...below on 140710 1348 at 2155 letter notifies VA Medical
201424 - Center in San Francisco, that Cardiology at VA Clinic in
201425 - Martinez was sent letter from VA Medical Center in San
201426 - Francisco on doctor ordering EPC and CTA testing for
201427 - regression of atherosclerosis, and customer to pay cost.
201428 - ref SDS 0 DX7K
201430 - ..
201431 - VA letter on 140710 continues...
201432 -
201433 - 3. Hope you are doing well.
201434 -
201439 -
201440 -
201442 - ..
2015 -
2016 -
2017 - 1352
2018 -
201801 - Letter to Doctor Alba at VA saying...
201802 -
201803 - 1. Subject: VA Order EPC Lab and Coronary CTA with Patient Billed
201804 - Date: 2014-07-10 14:08
201813 - ..
201814 - 2. Submitting your letter today (shown below) to Doctor Egan in
201815 - Cardiology at Martinez, asking if he is able to order tests
201816 - from outside labs which are paid by the patient. Copying Karen
201817 - in Cardiology at the Medical Center. She is very resourceful
201818 - on admin issues, and may have ideas on this. Maybe there is a
201819 - workaround of some kind. Nominally, since the patient is
201820 - paying the cost, there should be a way for the VA to support
201821 - testing regression of atherosclerosis, based on medication,
201822 - extended exercise training, and diet. We can at least get a
201823 - baseline, and then go from there.
201825 - ..
201826 - Respond to Doctor Alba's letter offering to investigate at VA San
201827 - Francisco Medical Center for doctor to order EPC and CTA testing which
201828 - will be paid by customer, and after discussion with Doctor Egan at VA
201829 - Cardiology Clinic in Martinez, per above. ref SDS 0 X45G
201831 - ..
201832 - Background on EPC issue....
201833 -
201834 - VA refuse order EPC............................ 140703 1938, ref SDS 71 H167
201835 - Request progress ordering EPC lab.............. 140626 1652, ref SDS 68 MY45
201836 - VA still pending answer on order EPC lab....... 140612 1048, ref SDS 66 Y68L
201837 - Follow up on ordering EPC lab.................. 140610 0903, ref SDS 65 LJ61
201838 - Follow up on ordering EPC lab.................. 140529 0942, ref SDS 64 QG3U
201839 - Doctor Alba responds........................... 140520 0732, ref SDS 62 AF5L
201840 - Follow up letter............................... 140520 0732, ref SDS 62 4U46
201841 - Confirm request in meeting on 140529........... 140520 0732, ref SDS 62 4U46
201842 - Request EPC lab................................ 140515 2043, ref SDS 59 YM61
201843 - Original research on........................... 131125 0005, ref SDS 43 6O9M
201845 - ..
201846 - Background on CTA issue...
201847 -
201848 - VA recommends 2nd opinion from VA.............. 140703 1938, ref SDS 71 H233
201849 - Request referral for 2nd opinion on CTA........ 140626 1652, ref SDS 68 MY51
201850 - No grounds refuse CTA assess atherosclerosis... 140626 1652, ref SDS 68 MZ33
201851 - CTA for CABG common assess atherosclerosis..... 140626 1652, ref SDS 68 MZ54
201852 - VA no grounds failure order CTA assess plaques. 140612 1048, ref SDS 66 Y68L
201853 - Follow up on ordering CTA atherosclerosis...... 140610 0903, ref SDS 65 LJ61
201854 - Request CTA assess atherosclerosis plaques..... 140529 0942, ref SDS 64 QG38
201855 - Justification coronary CTA order............... 140520 0732, ref SDS 62 VQ48
201856 - Request EPC lab predicate to CTA............... 140515 2043, ref SDS 59 YM61
201857 - Original research on........................... 131125 0005, ref SDS 43 N73K
201859 - ..
201860 - Letter to Doctor Alba at VA continues...
201861 -
201862 - 3. Bad news - since pausing hikes 2 weeks ago, weight has jumped
201863 - to 180, from 163 back in May. Now that shoulder myopathy has
201864 - recovered from Simvastatin, have started doing pushups again, 2
201865 - - 3 sets of 20. It was a struggle at first, but today went
201866 - pretty well. Still that doesn't have the same effect as 11
201867 - mile hikes.
201869 - ..
201870 - 4. Copying as well Doctor Sandhu in Primary Care on referral to
201871 - Podiatry for metatarsalgia, as presented in the letter to the
201872 - team on 140703. ref SDS 71 H240 Yesterday, received 3rd pair
201873 - of resoled shoes with another design. Will do a hike in a few
201874 - minutes to test results. At the moment, worried conditioning
201875 - will drop, which will impact the testing program, and even
201876 - readiness for Half Dome, now just 8 weeks away.
201878 - ..
201879 - Respond to Doctor Alba's suggestion on Primary Care making referral to
201880 - Podiatry for resolution of metatasalagia, shown in VA letter on 140703
201881 - 1938. ref SDS 71 H240
201883 - ..
201884 - 5. As you request, will keep you posted on progress.
201886 - ..
201887 - 6. Thanks very much for continuing support. (no need to respond).
201888 -
201892 -
201893 -
201894 -
201895 -
201896 -
201897 -
201898 -
201899 -
201900 -
201901 -
201902 -
2020 -