MSH|^~\&|EQUATORDXTRAY^EQUATORDXTRAY:0.12.8 (Build 310)^L|Demo Server^1FFA8984-7166-4655-B195-7B4FFFD2F136^GUID|||20050417213103+1000||ORU^R01|20050417.736384|P|2.3.1^AUS&&ISO^0.9&&L|||AL||AUS
PID|1||2345756^^^Medical-Objects&7C3E3682-91F6-11D2-8F2C-444553540000&GUID^SR^Buderim GE Centre&7C3E3681-91F6-11D2-8F2C-444553540000&GUID~4024728674^^^AUSHIC^MC~12345^^^Rx Medical^SR^Buderim GE Centre&7C3E3681-91F6-11D2-8F2C-444553540000&GUID~100004^^^Medical-Objects&7C3E3682-91F6-11D2-8F2C-444553540000&GUID^SR^Demo Server&1FFA8984-7166-4655-B195-7B4FFFD2F136&GUID||JONES^June^^^^^L||19760108|F|||24 Sutherland Street^^BUDERIM^QLD^4556^AUS^C|||54455531^PRN^PH^^^^54455531
PV1|1|O||||||0341616X^WHITE^WILSON^^^DR^^^AUSHICPR^L^^^UPIN|0341616X^WHITE^WILSON^^^DR^^^AUSHICPR^L^^^UPIN
ORC|RE||3E031303-8A3C-11D9-860B-00CA050276D0^Buderim GE Centre^7C3E3681-91F6-11D2-8F2C-444553540000^GUID||CM|||||||0341616X^WHITE^WILSON^^^DR^^^AUSHICPR^L^^^UPIN
OBR|1||3E031303-8A3C-11D9-860B-00CA050276D0^Buderim GE Centre^7C3E3681-91F6-11D2-8F2C-444553540000^GUID|11488-4^Letter^LN|||20050222+1000|||||||||0341616X^WHITE^WILSON^^^DR^^^AUSHICPR^L^^^UPIN||From Buderim GE Centre in File  dated 16.04.2005||LN=3E031303-8A3C-11D9-860B-00CA050276D0||20050224+1000|||F|||0341616X^WHITE^WILSON^^^DR^^^AUSHICPR^L^^^UPIN~0191322W^ANDERSON^THOMAS^^^DR^^^AUSHICPR^L^^^UPIN~0341615J^ANDREWS^JOHN^^^DR^^^AUSHICPR^L^^^UPIN||||0191322W&ANDERSON&THOMAS
OBX|1|FT|11488-4^^LN||\.br\                                               AM/slc/JJ080176\.br\                                            Dictated: 22.02.05\.br\                                               Typed: 24.02.05\.br\Dr Wilson White\.br\14 Daniel Street\.br\NAMBOUR  QLD   4560\.br\\.br\                                         cc: Dr John Andrews\.br\\.br\Dear Wilson,\.br\Re: June  Jones\.br\   D.O.B. 08.01.76\.br\\.br\I reviewed June with her husband today.  She came along really looking for\.br\alternatives to cholecystectomy as "there is no way she is having that".\.br\\.br\As I explained to her, her dilated bile duct really suggests that her gall\.br\bladder is not working and it has not been working for many years.  Even if\.br\we could clear her gall bladder with shock wave therapy or dissolving\.br\agents the odds are that it still would not work and form stones again\.br\rapidly.  It also provides a reservoir for new stones to enter the bile\.br\duct and a place where biliary mud can form and later solidify in the bile\.br\duct to form soft primary duct stones and then you end up in a cycle of\.br\chronic infection which in many cases can never be satisfactorily resolved. \.br\Several patients have regular clean outs of their bile duct because they\.br\continue to form soft primary duct stones.\.br\\.br\I think I finally got through to her that cholecystectomy is the best\.br\option and the option most likely to be beneficial to her and that\.br\following any other path is probably higher risk although without a crystal\.br\ball it is always hard to predict.\.br\\.br\I suggested she discuss it with you and make an appointment to see John\.br\Andrews with a view to cholecystectomy and hopefully this will happen\.br\without further ado.\.br\\.br\Thank you for asking me to review her.\.br\\.br\\.br\Yours sincerely,\.br\\.br\\.br\Thomas Anderson\.br\Gastroenterologist.\.br\||||||F
OBX|2|FT|PIT^^AUSPDI||001 Medical-Objects                                            07 01/07/1996\.br\002   \.br\003 Report Run Number: 1    Created:   17/04/2005     at    22:51:04\.br\004 Surgery: XXX    Reports: 24/02/2005 00:00:00  to  24/02/2005 00:00:00       \.br\009 ---------------------------------------------------------------------------\.br\010 WHITE,DR. WILSON                             0341616X\.br\019 ---------------------------------------------------------------------------\.br\020 Your Ref.   Patient Name                   Lab Ref.       Test\.br\021             JONES,June                      3E031303-8A3   Letter\.br\029 ---------------------------------------------------------------------------\.br\100 Start Patient  :      JONES,June                      \.br\101                       24 Sutherland Street, BUDERIM QLD 4556               \.br\104                       Birthdate: 08/01/1976     Age: Y29     Sex:F\.br\105                       Telephone: 07              \.br\109   \.br\110 Your Reference :      \.br\111 MO  Reference  :      3E031303-8A3C-11D9-860B-00CA050276D0\.br\112 Medicare Number:                \.br\115 Phone Enquiries:      Thomas ANDERSON  (0191322W)                  \.br\119   \.br\121 Referred by    :      WHITE,DR. WILSON                \.br\122 Copy to        :      ANDERSON,DR. THOMAS             \.br\122 Copy to        :      ANDREWS,DR. JOHN                \.br\123 Addressee      :      WHITE,DR. WILSON                  0341616X\.br\129   \.br\200 Start of Result:\.br\201 Specimen       :\.br\203 Requested      :      22/02/2005\.br\204 Collected      :      22/02/2005  00:00\.br\205 Name of Test   :      Letter                                               \.br\206 Reported       :      24/02/2005  00:00\.br\207 Confidential   :      N\.br\208 Test Category  :      N\.br\209   \.br\210 Normal Result  :      Y\.br\299   \.br\301 \.br\301 \.br\301                                                AM/slc/JJ080176\.br\301                                             Dictated: 22.02.05\.br\301                                                Typed: 24.02.05\.br\301 Dr Wilson White\.br\301 14 Daniel Street\.br\301 NAMBOUR  QLD   4560\.br\301 \.br\301                                          cc: Dr John Andrews\.br\301 \.br\301 Dear Wilson,\.br\301 Re: June  Jones\.br\301    D.O.B. 08.01.76\.br\301 \.br\301 I reviewed June with her husband today.  She came along really looking for\.br\301 alternatives to cholecystectomy as "there is no way she is having that".\.br\301 \.br\301 As I explained to her, her dilated bile duct really suggests that her gall\.br\301 bladder is not working and it has not been working for many years.  Even if\.br\301 we could clear her gall bladder with shock wave therapy or dissolving\.br\301 agents the odds are that it still would not work and form stones again\.br\301 rapidly.  It also provides a reservoir for new stones to enter the bile\.br\301 duct and a place where biliary mud can form and later solidify in the bile\.br\301 duct to form soft primary duct stones and then you end up in a cycle of\.br\301 chronic infection which in many cases can never be satisfactorily resolved. \.br\301 Several patients have regular clean outs of their bile duct because they\.br\301 continue to form soft primary duct stones.\.br\301 \.br\301 I think I finally got through to her that cholecystectomy is the best\.br\301 option and the option most likely to be beneficial to her and that\.br\301 following any other path is probably higher risk although without a crystal\.br\301 ball it is always hard to predict.\.br\301 \.br\301 I suggested she discuss it with you and make an appointment to see John\.br\301 Andrews with a view to cholecystectomy and hopefully this will happen\.br\301 without further ado.\.br\301 \.br\301 Thank you for asking me to review her.\.br\301 \.br\301 \.br\301 Yours sincerely,\.br\301 \.br\301 \.br\301 Thomas Anderson\.br\301 Gastroenterologist.\.br\301 \.br\309   \.br\319   \.br\390 End of Report  :\.br\399 ---------------------------------------------------------------------------\.br\999 END OF LISTING - Run Number:1     17/04/2005  22:51:04\.br\||||||F