040956 - ..
040957 - Lana compared wound condition today, with picture of wound
040958 - taken by Doctor Lucy Kornblith last Friday on 150925...
040959 -
040960 - 
040962 - ..
040963 - Lana advised that the wound bed today has less to no evident infection
040964 - but still has some inflammation. She is concerned that dead skin
040965 - along the perimeter of the wound opening may be infected.
040967 - ..
040968 - Lana seemed to indicate that "undermining" of the wound has improved
040969 - but remains major problem. She feels further debridement is needed
040970 - for the wound to heal. She described this in part as removing dead
040971 - and possibly infected skin along the perimeter of the wound.
040973 - ..
040974 - Lana used a scaple to cut some of the dead skin around the perimeter
040975 - of the wound. This caused pain level "20". As a result, Lana did not
040976 - complete this debridement surgery, similar to Jessica's report
040977 - performing original debridement last week on 150923. At that time,
040978 - she was unable to complete debridement surgery, because the pain was
040979 - too intense for the patient.
040981 - ..
040982 - Discussed hiking for wound therapy. Lana approved 2 - 3 miles daily
040983 - hiking until next examination on 151005, and in order to maintain
040984 - blood flow to wound that stimulates recovery. She prescribed rest
040985 - with leg elevated after hikes.
040987 - ..
040988 - Scheduled next meeting on Monday, 151005 0800.
040989 -
040990 -
040992 - ..
0410 -
0411 -
0412 - 1233
0413 -
041301 - After meeting with Lana, went back to Med Surg. Charlette said she
041302 - talked to Pharmacy and they have placed a new order for CLINDAMYCIN
041303 - HCL 150MG CAP Quantity 28. Can get it at Pharmacy.
041305 - ..
041306 - Asked about refill to complete original prescription for Hydrocodone?
041308 - ..
041309 - Charlette said the Pharmacy wants Doctor Yoo who placed the original
041310 - order to verify the error in the prescription should be corrected.
041311 - So far, nobody can find the doctor. His schedule says he is on site.
041312 - Charlette has called several workstations where he might and left
041313 - messages for him to call as soon as possible.
041315 - ..
041316 - After meeting with Charlette, with to the Pharmacy.
041318 - ..
041319 - They said to come back in 20 minutes to pick up the order for
041320 - CLINDAMYCIN HCL 150MG CAP Quantity 28.
041321 -
041323 - ..
0414 -
0415 -
0416 - 1248
0417 -
041701 - Walked to Joe's office on the 2nd floor of building 203. He scheduled
041702 - meeting with Doctor Simpson on 151014 0900, to discuss coronary CT
041703 - angiography.
041705 - ..
041706 - This implements Karen's request on 150925 0336. ref SDS 1 ZM7F
041707 -
041708 - [On 151005 1102 chance meeting with Doctor Wineski, Chief
041709 - of Cardiology, in hallway, reviewed issues to discuss with
041710 - Doctor Simpson on ordering CCTA to assess reducing
041711 - treatments with statins based on finding no evidence of
041712 - atherosclerotic plaques, and in order to reduce side
041713 - effects of increased urination that causes dehydration,
041714 - which then causes blistering, peeling, cracking, bleeding
041715 - feet that prevents hiking, and further to possibly increase
041716 - PPI (Omeprazole) in order to prevent ulceration of LESV
041717 - following failure of Dor fundoplication. ref SDS 7 5H5N
041718 -
041719 -
041721 - ..
0418 -
0419 -
0420 - 1315
0421 -
042101 - Returned to Pharmacy and received prescription RX #6101596 for
042102 - CLINDAMYCIN HCL 150MG CAP Quantity 28 to complete prescription for
042103 - taking medication 7 days. This is the same prescription number for
042104 - the original release on 150925 0336. ref SDS 1 H46L
042106 - ..
042107 - The pharmacist said there is no order to correct the error providing
042108 - only half the number of pills for 7 day treatment with
042109 -
042111 - ..
0422 -
0423 -
0424 - 1532
0425 -
042501 - While in hallway between building 200 and 203, called for Charlette
042502 - in Med Surg for progress finding Doctor Yoo to fix the mistake
042503 - on pain medication.
042505 - ..
042506 - Charlette was busy, but while talking to a nurse, Doctor Yoo walked
042507 - down the hallway.
042509 - ..
042510 - He smiled and said he has already placed another order for Hydrocodone
042511 - 5 MG with Acetaminophen 325 MG RX 90421826 prescribed to control pain.
042513 - ..
042514 - Thanked Doctor Yoo for timely support today, correcting the mistake
042515 - reported to the VA on 150928 0900, ref SDS 2 013M, and confirmed in
042516 - the letter to Doctor Rao in Medical Practice later in the afternoon on
042517 - 150928 0900. ref SDS 2 6Y42
042518 -
042519 -
042521 - ..
0426 -
0427 -
0428 - 1342
0429 -
042901 - While still at VA in San Francisco, called for Doctor Lee at VA
042902 - Medical Center Sacramento. Left message for Jessica for Doctor Lee
042903 - to call about prescribing Omeprazole 20 mg twice a day, to replace
042904 - prior subscription of 40 mg twice per day.
042905 -
042906 - [On 151002 1820 Doctor Lee returned call; will order
042907 - Omeprazole 20 mg prescription sufficient until next EGD
042908 - Dilation procedure on 151204, and complimenting
042909 - prescription entered on 150925 for only 1 month.
042910 - ref SDS 6 NV5I
042911 -
042912 -
042913 -
042914 -
042915 -
042916 -
042917 -
042918 -
0430 -