CONTACTS
SUBJECTS
Stroke Symptoms After EGD Dilation Pocedure VAMC Sacramento Left Si
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 32 0000. ref SDS 30 0000.
040502 -
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040504 -
040505 -
040506 -
040507 -
040508 -
040510 - ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Doctor Kim called on cellphone. Advised that his letter dated 160802,
040902 - was received 2 days ago on 160820. ref SDS 32 R66J
040904 - ..
040905 - Complimented Doctor Kim, Doctor Vora and Stanford Neuroscience on a
040906 - good report dated 160802, received a few days ago on 160820 0940.
040907 - ref SDS 32 R66J
040909 - ..
040910 - The doctor began relating results from recent MRI on 160817, performed
040911 - the day after follow up EGD dilation on 160816, saying there was no
040912 - repetition of former adverse neurological findings that occurred in
040913 - the MRI on 160618.
040915 - ..
040916 - Explained could not discuss the case, so Doctor Kim said he will call
040917 - back in 2 hours.
040918 -
040919 -
040920 -
040922 - ..
0410 -
0411 -
0412 - 1523
0413 -
041301 - Sent letter to Doctor Vora using Stanford's dedicated server, which
041302 - cannot be copied to anyone, including to Sun Kim saying...
041303 -
041304 - Dear Doctor Kim,
041306 - ..
041307 - Thanks for calling earlier today, to follow up on 2nd opinion
041308 - review in this case. Since I was in a meeting, you planned
041309 - to call this afternoon OA 1530, to complete the discussion.
041310 -
041311 - [...below on 160822 1321 at 1642 Doctor Kim called - he has
041312 - not seen this letter, because it was sent to Doctor Vora,
041313 - because she is only adresseed available to the patient
041314 - listed in Stanford's electronic communication system, and
041315 - there was no evident procedure for sending a separate copy
041316 - to Doctor Kim. He will ask Doctor Vora in next 10 minutes
041317 - for a copy, so he can access the record reviewing his
041318 - letter on 160802, received on 160820, and call back to
041319 - discuss pending action items for determining what caused
041320 - stroke symptoms on 160617, to complete 2nd opinion work in
041321 - this case. ref SDS 0 U65K
041323 - ..
041324 - To facilitate telecon this afternoon, see comments, questions,
041325 - action items on SN letter dated 160802. ref SDS 32 R66J
041327 - ..
041328 - Please calle me at 925 849 4745.
041329 -
041338 -
041339 -
041341 - ..
0414 -
0415 -
0416 - 1545
0417 -
041701 - Sent letter to Doctor Massa and medical team saying...
041702 -
041703 - 1. Subject: Re: Cerebral MRI Aug 17 0800 Testing Effects EGD Dilation with Sedation Performed Today
041704 - Date: 2016-08-22 16:07
041713 - ..
041714 - 2. On Saturday, 160820, received [...copy of...] letter in the
041715 - mail addressed to you, from Doctor Sun Kim, working with Doctor
041716 - Vora, attending, in this case at Stanford Neuroscience (SN).
041717 - The letter is dated 160802, so 18 day delay in transmission is
041718 - not reconciled. SN preliminary comments are interesting and
041719 - helpful, as shown in the record listing questions and pending
041720 - action items at.... ref SDS 32 0001
041722 - ..
041723 - 3. Doctor Kim called earlier today to discuss follow up. I was in
041724 - a meeting, so he plans to call back later this afternoon, to go
041725 - through his letter, ref SDS 0 R66J, toward issuing an opinion
041726 - on what caused stroke symptoms on 160617, following EGD
041727 - dilation.
041729 - ..
041730 - 4. Your letter on 160811, was very helpful. ref SDS 26 OT3H
041732 - ..
041733 - 5. It sets out your discussion with Doctor Lee, who was attending
041734 - during the procedure on 160617, that preceded symptoms, and
041735 - further begins a process of considering specific elements of
041736 - EGD dilation procedures using conscious sedation, which may
041737 - cause stroke symptoms. ref SDS 26 KQ4J
041739 - ..
041740 - 6. We should request work product from Peer Review Doctor Lee
041741 - ordered on 160714, to ensure comprehensive review.
041743 - ..
041744 - 7. Have not yet seen neuroradiologist report on MRI performed
041745 - 160817. Sun mentioned briefly in the initial [...call...]
041746 - today, that it shows no continuing symptoms, similar to follow
041747 - up MRI on 160805.
041749 - ..
041750 - 8. You have been terrific updating communications, since 160802.
041751 - Would be great if we could do a conference call for timely,
041752 - accurate collaboration. Let me know, if VAMCSF can facilitate,
041753 - so that everyone is on the same page.
041754 -
041763 -
041764 -
041766 - ..
0418 -
0419 -
0420 - 1642
0421 -
042101 - Doctor Kim called.
042102 -
042103 - He has not seen the letter submitted to Doctor Vora, per above.
042104 - ref SDS 0 155H
042106 - ..
042107 - Doctor Kim advised that the MRI on 160817, performed the day after the
042108 - MRI on 160816, shows no repetition of neurological deficits that
042109 - appear in the MRI on 160618, following prior EGD on 160617.
042111 - ..
042112 - He said under these circumstances Stanford Neuroscience cannot find
042113 - what caused what caused stroke issues shown in MRI on 160617.
042115 - ..
042116 - We reviewed the record of Doctor Vora stating that Stanford
042117 - Neuroscience would find what caused stroke symptoms that occurred
042118 - after EGD on 160617, reported on 160802 1300. ref SDS 18 GY48
042120 - ..
042121 - Kim seemed to indicate that Stanford Neuroscience has not reviewed
042122 - Doctor Massa's updated analysis on 160811, following telecon with
042123 - Doctor Lee, attending, on 160617, EGD, and presenting new
042124 - possibilities for consideration of what caused stroke symptoms on
042125 - 160617. ref SDS 26 KQ4J
042127 - ..
042128 - Sun is meeting with Doctor Vora in 10 minutes.
042130 - ..
042131 - He will request permission to see the letter sent to her, per above,
042132 - ref SDS 0 155H, then call back to review pending issues together.
042133 -
042134 -
042135 -
042137 - ..
0422 -
0423 -
0424 - 1743
0425 -
042501 - Doctor Kim called back...
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042510 -