Salivary gland infection was my diagnosis by Dr. Susan McMullen on 3/8/2022. I don’t specifically remember this visit, so I will be just publishing information from my medical record from that day.
I was seen and treated at: UT Health East Texas Cedar Creek Lake location
Comments by Dr. McMullen For Visit Includes :
- Tenderness lateral R cheek
- Mild swelling
- Inflammation
Diagnosis:
- Salivary gland infection / Acute Parotitis – No labs or images were used for this diagnosis
Patient Active Problem List includes:
- Chronic gastroesophageal reflux disease / Diagnosed 2/8/2022
My Office Nurse Check
- Blood Pressure: 138/70
- Temperature: 97.4
- BMI: 48.26
- Pulse: 83
- Weight: 294 lbs 8oz
- Respiration: 18
- Height: 5′ 5.5″
- Oxygen Saturation: 98%
Surgery History Includes:
- Cesarean Section (The date is not in my medical records)
Extra Attention With These Records
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.
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.
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.
New RX Medications
- amoxicillin-pot clavulanate (AUGMENTIN) 500-125 mg per tablet, Take 1 tablet (500 mg total) by mouth 3 (three) times per day for 10 days., Disp: 30 tablet, Rfl: 0
Continued Medications
- pantoprazole (PROTONIX) 40 mg EC tablet, Take 1 tablet (40 mg total) by mouth 1 (one) time each day., Disp: 90 tablet, Rfl: 3
Important thoughts about this visit
Looking back at the clinical records for this visit and the diagnosis, something seems off. The only symptoms listed are tenderness and mild swelling in my right cheek. There is no mention of fever, pus discharge, tiredness or other infection symptoms.
After reading about this type of infection online. Most medical sites mention using imaging or swabs samples taken from the mouth. No labs or images were taken. Also mentioned is personal care during the course of taking antibiotics. Dr. McMullen did not instruct me to do anything for home care.
Examples include:
- massaging the infected area
- staying hydrated
- warm compress
This office visit lasted about 15min. She came in did a quick exam and wrote a prescription for antibiotics. Then she spoke with me about my annual well woman’s exam with the remaining time.
A “leaflet” distributed by Ardent Health was also attached to my visit summary titled “Basics Of Diet And Health”. The exact same leaflet that was attached to my 2/8/2022 office visit.
Attorney Documents For This Clinic Visit
- Document #3-22-1 = “After Visit Summary
- Document #3-22-2 = “Notes From Care Team”
- Document #22-6 = McMullen Office Visit Bill
Billing For This Office Visit:
- $160.00 McMullen Office /Outpatient Established Low Mdm 20 Min
Actual Bill Amount = $160.00
The UT Health East Texas / Ardent Health bill says that my Ambetter health insurance paid 100% of the cost of this appointment.
Unfortunately my medical insurance does not have claim information this far back on the website.
Time Taking Pantoprazole
This day marks exactly 1 month / or 4 weeks / or 28 days of taking the Proton Pump Inhibitor Pantoprazole.
This is still within the 8 week drugs recommended treatment cycle.