NP Cynthia Chaney Pulmonary follow up after sleep study on February 23, 2023. I only remember a small part of this office visit. The medical records for the pulmonary specialist have been _ fairly confusing and hard to put together in order. I believe the pulmonary records are weird because of the home sleep study.
This appointment was noted as being with Dr. Gass in GBC, but seen NP Chaney. NP Cynthia Chaney is registered under Dr David Irwin Jones not under Dr Gass’s license.
This office visit was also done at 2408 W Main St, Gun Barrel City, TX 75156 – This address is not associated with Dr. Jones or NP Chaney.
My Office Nurse Check
- Blood Pressure: 120/90
- Temperature: Not Noted In This Visit
- BMI: 49.35
- Pulse: 92
- Weight: 292
- 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
There is no mention of me being sick in the office visit. The previous day 2/22/2023 Dr. McMullen and her nurse did a telephone visit. Dr. McMullen sent a antibiotic prescription in to the pharmacy for possible sinus infection.
Ignored Diagnosis On This Day Include
- Fatty Liver Without Focal Mass * Diagnosed 4/20/2022
- Gallstones * Diagnosed 4/20/2022
- Small Sliding Hill Grade 3 Hiatal Hernia * Diagnoses 1/31/23
- Mild Gastric Erythema In The Distal Gastric Body & Antrum * Diagnoses 1/31/23
Continued Medication Is As Listed
- clotrimazole (LOTRIMIN) 1 % cream; Apply topically 2 (two) times per day.
- amoxicillin 500 mg capsule : Take 1 capsule (500 mg total) by mouth 3 (three) times per day for 10 days.
- sulfamethoxazole-trimethoprim 800-160 mg per tablet Commonly 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 1 time per day., Disp: 180 tablet, Rfl: 3
- calcium carbonate (TUMS) 500 mg chewable tablet ; 1 tablet, oral, Daily
NP Cynthia Chaney Treatment Plan for Todays Visit:
- The notes say that I was being refered to Lincare Athens to OSA treatment
- This medical record says that I was being referred to an ENT also – Otolaryngology
I’m posting this article almost 3 years after this visit happened. _ I never seen a ENT or Lincare for anything.
Attorney Documents For This Medical Record
- 2-23-1 = Home Sleep Test Results 2/14/23
- 2-23-2 = ResMed Diagnostic Report 2/9/23
- 2-23-3 = ScreenShot of MyChart test results list 3/23/22 – 5/8/23
- 2-23-4 = ScreenShot of MyChart referral list 1/11/23 – 11/27/24
- 2-23-5 = Referral athorization details for sleep study
- 2-23-6 = ScreenShot MyChart appointment calendar 1/31/23 – 5/8/2023
- 2-23-7 = Visit Details For rescheduled appointment on 2/1/23
- 2-23-13 = After Visit Summary for office visit on 2/23/23
- 2-23-14 = Notes From Care Team for office visit on 2/23/23
- 23-10 = Medical Bill For 2/23/23 and 2/9/23
Extra Attention With These Medical Records
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. 2/23/23 Everything was noted as normal
Cardiovascular: 11/8/2022 was the first instance of noted Tachycardia. 12/14/2022 notes say normal, 12/22/2022 No diaphoresis noted 2/23/23 Everything was noted as normal
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 1/31/23 no TIA or seizures 2/23/23 Everything was noted as normal
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 2/23/23 Everything was noted as normal
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. 2/23/23 Everything was noted as normal
More About Lincare
Department of Health And Human Services had issues with Lincare for medical insurance fraud. There are multiple public records of Lincare billing insurance for items not received.
On This Day I Had Been Taking Pantoprazole NON – Stop For:
- 1 years 0 months 15 days
- or 12 months 15 days = 10 MONTHS and 15 DAYS over the suggested 2 MONTHS
- or 54 weeks 2 days = 46 WEEKS and 2 DAYS over sugested treatment time
- or 380 days = 324 DAYS longer than the recommended 56 Days
Food And Drug Administration recommend a treatment cycle of 8 WEEKS. Doctors are not required by law to follow FDA recommendations. Doctors can do what they want in Texas because the state is short on doctors.
Billing For This Follow-Up Visit
- $160.00 = Office / Outpatient Established Low Mdm 20 Min / NP Cynthia Chaney
Going by my UT Health East Texas / Ardent Health Medical bills, it looks like the only charges for this day are for the office visit with NP Cynthia Chaney. The itemized bill says that my Ambetter Health insurance policy paid 100% of the $160.00 visit bill.
I am unable to verify the Ambetter Health insurance claim with the EOB, because its currently 3 years after this day in 2023 when I am making this article in 2026.