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Pulmonary & Neurosurgery done, new orders

Posted May 04 2009 5:26pm

Pulmonary doctor ordered that I be on a pulse oximeter when I am at home and report the trend charts when the oximeters memory fills up by just emailing the trend file, will be easy. Neurosurgical kicked up the baclofen pump from 316mcg as of march third to 377mcg now. So I have to write up the justification for an oximeter now and an ETCO2 monitor for at night usage.

Tests / visits / devices ordered are

  • Pulse Oximeter (ordered by pulmonary) <ACTIVE>
  • ETCO2 monitor (ordered by pulmonary) <ACTIVE>
  • Pulmonary office visit - respiratory problems cropping up (DEAD) (OP) <DONE>
  • Neurosurgical office visit - baclofen bump up (DEAD) (OP) <DONE>
  • Toxicology panels (drug & standard) - See if disease caused by toxic mutagenic agent (Live - To be scheduled) (OP) <INACTIVE>
  • Pulse Oximeter (ordered by pulmonary)
  • Muscle Biopsy - See if there is a muscular dystrophy or other disease directly affecting the muscle such as progressive rhabdmyolysis. (Live - To be scheduled) (OP / IP at doctors discretion) <INACTIVE>

We are also waiting on a few other things to be ordered after the completion of these, the next order batch is. All of the below are considered dead until converted to live orders.

  • New wheelchair (CONFIRMED: WILL BE ORDERED, PAPERWORK TO BE SIGNED MORE) (OP, Duh!) <ACTIVE>
  • Deep Brain Stimulator insertion surgery talk (new surgery in talks) (IP, Duh!) <INACTIVE>
  • Pulmonary Functions Test + Waking ABG draw (resp problems, PFT is a default test every 3 months, 4 months passed. waking ABG based on research) (OP / IP PFTs to be OP ABGs probably IP) <INACTIVE>
  • Echocardiogram (repeat due to 1 year passing since last ECHO) (IP) <INACTIVE>
  • 24 hour holter monitoring (repeat due to 1 year passing since last 24 hour holter) (IP) <INACTIVE>
  • CT head & spine w/o contrast and with contrast (repeat due to 1 year passing since last CT series) (OP OR IP) <INACTIVE>
  • Urodynamics study (under anesthesia or neuromuscular blockade) (repeat due to question of suprapubic catheter) (OP / IP at doctors discretion) <INACTIVE>
  • Endoscopy (repeat due to 2 years passing and unusual pain in abdomen intermittantly) (OP / IP at doctors discretion) <INACTIVE>
  • Spinal plain X-Ray series - June(6 months will have passed, usually done twice yearly) (OP) <INACTIVE>
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