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: January 16, 2015 08:13 AM Friday; Rod Welch

VA visited Sacramento Medical Center coordinate Progress Notes for EGD procedure 141107.

1...Summary/Objective


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CONTACTS 

SUBJECTS
VA EGD Procedure on 141107 Stricture Lower Esophageal Sphincter Valv                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
1503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1503 -    ..
1504 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
1505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150501 - Follow up ref SDS 4 0000, ref SDS 2 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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150509 -  ..
1506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1508 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150901 - Met with Jessica again briefly this morning, following up planning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150902 - yesterday on posting Progress Notes for EGD dilation procedure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150903 - performed on 141107, ref SDS 2 CY7I, to the VA patient medical records                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150904 - on the VA computer system, reported on 150115 1110. ref SDS 4 CG7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150906 -  ..
150907 - She said Doctor Lee is onsite and is currently performing patient                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150908 - consent for a procedure.  She further advised that the doctor was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150909 - notified earlier this morning about filing Progress Notes for the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150910 - procedure on 141107, and indicated he would take care of it, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150911 - planned in the meeting yesterday on 150115 1110. ref SDS 4 PH6T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150913 -  ..
150914 - Jessica checked patient medical records and advised that the VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150915 - compouter system still shows the Progress Notes are missing for the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150916 - EGD dilation procedure on 141107.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150918 -  ..
150919 - Requested brief consultation with the doctor to advise that swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150920 - has improved since the dialation procedure included triamcinolone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150921 - injection on 141107. ref SDS 2 I167                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150923 -            [...below on 150116 0813 at 0922 Doctor Lee called and left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150924 -            voicemail message - pleased hearing that returning to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150925 -            adding triamcinolone steriod injections has improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150926 -            swallowing, and thereby reduced vomitting problems caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150927 -            by achalasia. ref SDS 0 EZ4J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150929 -  ..
150930 - Jessica said to wait a second.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150932 -  ..
150933 - Jessica went into the patient preparation area.  She returned a minute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150934 - later and advised that Doctor Lee will come out in a few minutes for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150935 - brief meeting with the patient.  He usually has 10 - 20 minutes after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150936 - obtaining patient consent and before he begins performing the actual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150937 - medical procedure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150939 -  ..
150940 - Waited in the lobby for 30 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150943 -  ..
1510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1512 - 0857                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
1513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151301 - Jessica went back into the patient preparation area.  She returned a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151302 - few mintues later and advised that Doctor Lee is already in the OR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151303 - performing a procedure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151305 -  ..
151306 - Jessica will follow up with Doctor Lee on posting Progress Notes for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151307 - patient medical records on the EDG dilation procedure on 141107.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151308 - ref SDS 2 CY7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151312 -  ..
1514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1516 - 0922                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
1517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151701 - Doctor Lee called and left a message on telephone voicemail system.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151702 - He has reviewed the VA medical records and confirmed that Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151703 - Notes for the EGD dilation procedure on 141107, are missing.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151704 - Lee further said that his Progress Notes are probably scanned in on a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151705 - backup system, indicating he has completed writing the Progress Notes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151706 - He plans to order a copy of his Progress Notes be sent to the VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151707 - computer system for access by patients.  When the Progress Notes "pop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151708 - up" on the VA computer system for patients, he will send a note                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151709 - notifying the patient can access them for download.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151711 -  ..
151712 - The doctor was pleased that swallowing has improved since EGD dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151713 - with triamcinolone steriod injection on 141107, ref SDS 2 I167, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151714 - discussion with Jessica above. ref SDS 0 YX95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
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151726 -