UT Health East Texas Physicians Gastroenterology in Athens Texas with Dr Takata on 5/17/22. My medical records shows that my appointment with him was for abdominal pain. I do remember this office visit and I remember the pain very well. The pain felt like a charley horse cramp in my front left side of my stomach, that effected an area about the size of an orange or grapefruit. The pain was so intense that I couldn’t move while it was hurting. The pain was always in the exact same location and never moved.
As noted in the visit notes, I don’t know what would cause the random pains. I had no fever, nausea, diarrhea, vomiting or constipation.
Dr. Takata specifically noted that “Abdominal Distension” was addressed in this clinic visit.
Patient Active Problem List includes:
- Chronic gastroesophageal reflux disease / Diagnosed 2/8/2022
There is no mention of the “Fatty Liver” or “Gallstone” listed in active problem list. Was reported in sonogram finding 4/20/2022 and never added to my active problems.
My Office Nurse Check
- Blood Pressure: 144/76
- Temperature: wasn’t noted for this visit in my medical records
- BMI: 49.83
- Pulse: 77
- Weight: 290 lbs 4.8oz
- Respiration: wasn’t noted for this visit in my medical records
- Height: 5′ 4″”
- Oxygen Saturation: wasn’t noted for this visit in my medical records
Treatment Plan From Dr Takata
There are a some medical terms noted in the treatment plan for that day. I believe they mean that Dr Takata wants a CT scan of my abdomen to check for obstruction in my small bowl.
These are the exact medical terms used : LUQ abdominal pain with unrevealing abdominal US ? Internal hernia, intermittent partial SBO CT A/P
Continued Prescription 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
- doxycycline (VIBRAMYCIN) 100 mg capsule; Take 1 capsule (100 mg total) by mouth 1 (one) time each day. SUN protection
- clotrimazole (LOTRIMIN) 1 % cream; Apply topically 2 (two) times per day.
Extra Attention With These Medical 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. 3/23/2022 McMullen noted negative for dizziness, weakness, light-headedness and numbness. 4/22/2022 visit just notes “she is alert” for neurological. 5/9/2022 noted alert and no neurological symptoms. 5/17/2022 Dr. Takata noted that I was alert without issues.
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. 5/9/2022 Noted that I was negative for pain, vomiting and diarrhea ect 5/17/2022 Dr. Takata noted positive for abdominal pain.
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. 5/9/2022 Noted that I appeared and “obese” 5/17/2022 Dr. Takata noted “she is obese”
The same useless “leaflet” distributed by Ardent Health was also attached to my visit summary on 3/23/2022.
Attorney Documents For This Clinic Visit:
- #5-22-5 = After Visit Summary for Dr. Takata clinic visit
- #5-22-6 = Notes From Care Team for Dr. Takata clinic visit
- #22-7 = Medical Bill for Dr. Takata clinic visit
Billing For This Athens Gastro Clinic With Dr. Takata
- $239.00 = Office / Outpatient New Low Mdm 30 Minutes / Takata Visit
Total cost of this clinic visit = $239.00
This appointments insurance claim EOB isn’t available in my Ambetter Health Insurance account. Its too old and aged out of the available information.
UTMG Athens Gastro Clinic bill says that $239.00 was the total cost of the clinic visit with Dr. Takata. The same bill says that I paid a $5 co-Payment and that my health insurance paid the remaining balance of $234.00.
On This Day I Had Been Taking Pantoprazole For:
- 3 months 9 days
- or 14 weeks 0 days = 6 weeks longer than the recommended 8 week medication cycle.
- or 98 days
The FDA drug label recommends a 8 week treatment cycle for Pantoprazole. Doctors are supposed to reevaluate the patients need for Pantoprazole. Doctors are supposed to monitor progress with this meant to be temporary medication.
Its also important to mention that Pantoprazole can be linked to:
- Abdominal Distension = Treated by Dr. Takata on 5/17/22
- Abdominal Pain = Treated by Dr. Takata on 5/17/22
Cleveland Clinic suggest consulting a doctor if symptoms do not improve in 2 – 4 weeks.