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Appointment update

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I heard from the Chief of Nephrology today, exactly 1 month after I announced I

was stopping spiro and asked him to set up an AVS. My PCP, team nurses and the

patient advocate had left urgent messages for him by last Friday. I got the

first call back, 2 1/2 hours after I left a message for Dr. Geiling, the Chief

of Medical Services! See, there is a way to get an answer!

He said he was out sick last week and I didn't ask how he responded rudely to

the nurse on Tue or the two weeks prior when he was supposed to be " working on

it " ! See , I'm trying!

All he told me was he put in a request and they would contact me to set it up nd

tell me how to prepare! I reminded him I have been off spiro for 4 weeks and

asked for the doctor and his experiences. He confirmed it is Dr. Lenz and

repeated he is the best in the area. He said he does all the AVSs for the VA

and Darmouth Hitchcock.

Wasn't there someone here that had an AVS at Darmouth and a K Crash on the way

home? Who decides you are ready to go home?

- 65 yo super ob., fastidious male - 12mm X 13mm rt. a.adnoma with

previous rt. flank pain. Treating with DASH. Stats w/o meds = BP 175/90 HR 59

BS 125. D/C Spironolactone 12/20/2011 due to adverse SX.

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, Gynecomastia, MDD

and PTSD.

Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg aspirin and

Metformin 2000MG. Started washing Spironolactone 12/20/11 to prepare for AVS.

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