CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 25 0000. ref SDS 24 0000.
040502 -
040503 -
040504 -
040505 -
040507 - ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Sent letter to Doctor Massa and medical team, including Doctor Lee
040902 - and Doctor Stewart, saying...
040903 -
040904 - 1. Subject: Schedule MRI Aug 17 Test Results Today EGD Dilation with Sedation
040905 - Date: 2016-08-16 4:02 PM
040911 - ..
040912 - 2. Dear Doctor Massa,
040914 - ..
040915 - 3. Doctor Lee performed EGD dilation this morning OA 0900 at VAMC
040916 - Sacramento.
040918 - ..
040919 - 4. Results were negative - LESV closed back to 9.5 mm, worst
040920 - condition in 10 year patient history. He was unable to expand
040921 - LESV with pneumatic dilation, because ulceration progressed to
040922 - a point that expanding LESV risks rupture of the ulcer with
040923 - severe complications. [...shown in the record of EGD procedure
040924 - on 160816 0800. ref SDS 26 6P6G...]
040925 -
040926 - [On 160823 0920 Doctor Massa called and asked if Doctor Lee
040927 - injected Triamcinolone for EGD procedure on 160816, and was
040928 - told Progress Notes are not available to determine what was
040929 - done. ref SDS 27 NG51
040931 - ..
040932 - 5. He scheduled next EGD dilation procedure on 160909, leaving the
040933 - prior schedule in place. The goal is to heal the ulcer over
040934 - next 3 weeks with a new regimen of medication.
040936 - ..
040937 - 6. Doctor Lee switched to high dose Pantorazole 40 mg twice daily,
040938 - and discontinued Omeprazole and Famotidine. He changed Mylanta
040939 - to "as needed."
040941 - ..
040942 - 7. On return home, there is no notice from Radiology at VAMCSF to
040943 - come in for follow up MRI, planned in your letter yesterday, on
040944 - 160815, shown below.
040946 - ..
040947 - 8. I will call Radiology to inquire about time for MRI tomorrow.
040949 - ..
040950 - 9. Possibly, you could call Radiology as well to verify MRI is
040951 - ordered for tomorrow, and request notice to patient the time of
040952 - the study. Another option is for me to go into ER tomorrow at
040953 - 0500. If you notify the ER of this work plan, Radiology will
040954 - fit the MRI into their schedule for tomorrow. It has done this
040955 - several times in the past on this case. Carolyn, who schedules
040956 - MRI procedures advised last week, that all requests coming from
040957 - the ER get priority.
040959 - ..
040960 - 10. Just trying here to decide on coming in early at 0500 to beat
040961 - the traffic, or waiting until 1000, after traffic subsides and
040962 - getting MRI closer to noon.
040964 - ..
040965 - 11. Very good news - no repeat clinical symptoms of stroke, so far
040966 - today.
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