Dr. George David Gass pulmonary specialist referral for 12/22/22 by Dr. Susan McMullen. Dr. McMullen referred me to Dr. Gass with likely sleep apnea.
Office Visit was done @
- UT East Texas Specialty Services / Dr. George Gass
- 2408 W. Main St.
- Gun Barrel City, Texas 75156
- (903) 340-8151
12/22/22 Symptoms
My Office Nurse Check
- Blood Pressure: 144/93
- Temperature: Not Noted In This Visit
- BMI: 50.09
- Pulse: 95
- Weight: 296 lb 6.4 oz
- Respiration: 19
- Height: 5′ 4.5″
- Oxygen Saturation: 98%
Patient Active Problem List includes:
- Class 3 severe obesity in adult (HCC) * Diagnosed 11/8/2022
- Chronic gastroesophageal reflux disease * Diagnosed 2/8/2022
Prescription Medication That Was Listed To Be Continued
- clotrimazole (LOTRIMIN) 1 % cream; Apply topically 2 (two) times per day.
- sulfamethoxazole-trimethoprim 800-160 mg per tabletCommonly known as: Bactrim, Take 1 tablet by mouth 1 (one) time each day. To prevent boils. Stop doxycycline
- pantoprazole (PROTONIX) 40 mg EC tablet, Take 1 tablet (40 mg total) by mouth 2 (two) times per day., Disp: 180 tablet, Rfl: 3
- Calcium Carbonate (Tums) 500mg chewable tablet: Take 1 tablet (500 mg total) by mouth 1 (one) time each day.
Dr Gass Treatment Plan for Today’s Visit:
- Dr. Gass ordered a Sleep Study to address the following issues
- Obstructive sleep apnea
- Snoring
- Daytime hypersomnolence
Extra Attention With These Medical Records
Neurological: On 2/8/2022 McMullen noted that I showed no signs of neurological issues. Negative for dizziness, tremors, seizures, weakness, light-headedness, numbness and headaches. On 3/8/2022 The notes for neurological only say “she is alert”. There is no mention of the other neurological stuff previously mentioned. 3/23/2022 McMullen noted negative for dizziness, weakness, light-headedness and numbness. 4/22/2022 visit just notes “she is alert” for neurological. 11/8/2022 everything for neurological was noted as normal. 12/14/2022 records just say she is alert, 12/22/2022 No somnolence was noted
Psychiatric /Behavioral: 11/8/2022 notes were made that My mood was normal ect. But that I was positive for “sleep disturbance” 12/14/2022 records say normal 12/22/22 Notes say cooperative, Negative for agitation and confusion
Constitutional: On 2/8/2022 McMullen noted “she is obese. She is not ill-appearing, toxic-appearing or diaphoretic.” I believe the term “Obese” that McMullen was incorrect. I believe the correct term for me would be “Class III obesity” because my BMI at the time was over 40. On 3/8/2022 McMullen noted “she is obese”. Again, I do not agree we the label of “Obese” I believe the correct term to label me should be Class lll obesity since my BMI is over 40. 3/23/2022 McMullen labeled me as “Obese” again. 4/22/2022 again just noted as “obese” this is 2 days after the radiologist noted “fatty liver” on my sonogram. 11/8/2022 Dr. McMullen diagnosed me with Class 3 severe obesity. 12/14/2022 records say normal. 12/22/2022 say normal with Morbid Obesity noted.
Gastrointestinal / Abdominal: On 3/8/2022 Dr. McMullen did not comment on gastrointestinal issues or left CVA” tenderness as previously mention on the 2/8/2022 records. 3/23/2022 McMullen noted abdominal pain, left CVA tenderness in the area for gastrointestinal symptoms. 4/22/2022 nothing noted about gastrointestinal symptoms. 11/8/2022 Abdominal pain, abdominal tenderness, and epigastric tenderness were noted 12/14/2022 Notes say that abdomen is soft with abdominal tenderness (epigastric). No guarding or rebound. 12/22/22 say negative for gastrointestinal symptoms.
Cardiovascular: 11/8/2022 was the first instance of noted Tachycardia. 12/14/2022 notes say normal, 12/22/2022 No diaphoresis noted
Attorney Documents For Dr. Gass Pulmonary Clinic Visit on 12/22/2022
- #12-22-1 = Screenshot of list of referrals including the referral for Dr. Gass
- #12-22-2 = Referral to Dr. Gass for a sleep study
- #12-22-6 = After Visit Summary for 12/22/22 clinic visit with Dr. Gass
- #12-22-7 = Notes From Care Team for 12/22/22 clinic visit with Dr. Gass
- #12-22-8 = Screenshot of list of test results from 2022
- #12-22-9 = Screenshot of list of test results from 8/15/2019 – 3/23/2022
There are no notes or acknowledgement of the following diagnosed conditions
- Class 3 severe obesity in adult (HCC) That was diagnosed on 11/8/2022 was mentioned in the notes but no medication or treatment plan is noted in this visit with Dr. Gass. Dr. Gass does note it as “Morbid Obesity” on 12/22/2022.
- Gallstones or Fatty Liver diagnosed by Radiologist Dr Bennett on 4/20/22 – These issues are not being treated and have been ignored.
Medical Bills For Dr. Gass Clinic Visit
- $365.00 = Office/Outpatient New Moderate Mdm 45 Minutes
The medical bill in MyChart says that my Ambetter health insurance policy paid $360.00 of the total bill. That left me with a $5 copay that I paid on the day of the office visit .
This Article was written December 20, 2025
- Unfortunately since this office visit was 3 years ago, I don’t have access to the health insurance EOB for this visit.
- I will be sure to send a link to this article directly to UT Health East Texas / Ardent Health immediately. I want to be extra sure that they are aware of my medical records for this office visit. Email was sent to privacyoffice@uthet.
On This Day 12/22/2022 I had already taken Pantoprazole for:
- 10 months 14 days = 8 MONTHS and 14 DAYS longer than the recommended 2 MONTHS
- or 45 weeks 2 days = 37 WEEKS and 2 DAYS longer than the suggested 8 WEEKS
- or 317 days = 261 DAYS longer than the 56 DAY recommended treatment cycle
The suggested Food And Drug Administration (FDA) treatment time for Pantoprazole is 8 weeks. After that 8 week period prescribing doctors are supposed to reevaluate the patient, to find out if the drug is helping. Its NOT meant to be a long-term medication, so doctors are supposed to monitor patients regularly.