|^~\&EQUATORDXTRAYEQUATORDXTRAY:0.12.8 (Build 310)LDemo Server1FFA8984-7166-4655-B195-7B4FFFD2F136GUID20050417213103+1000ORUR01ORU_R0120050417.736384P2.3.1AUSISO0.9LALAUS12345756Medical-Objects7C3E3682-91F6-11D2-8F2C-444553540000GUIDSRBuderim GE Centre7C3E3681-91F6-11D2-8F2C-444553540000GUID4024728674AUSHICMC12345Rx MedicalSRBuderim GE Centre7C3E3681-91F6-11D2-8F2C-444553540000GUID100004Medical-Objects7C3E3682-91F6-11D2-8F2C-444553540000GUIDSRDemo Server1FFA8984-7166-4655-B195-7B4FFFD2F136GUIDJONESJuneL19760108F24 Sutherland StreetBUDERIMQLD4556AUSC54455531PRNPH544555311O0341616XWHITEWILSONDRAUSHICPRLUPIN0341616XWHITEWILSONDRAUSHICPRLUPINRE3E031303-8A3C-11D9-860B-00CA050276D0Buderim GE Centre7C3E3681-91F6-11D2-8F2C-444553540000GUIDCM0341616XWHITEWILSONDRAUSHICPRLUPIN13E031303-8A3C-11D9-860B-00CA050276D0Buderim GE Centre7C3E3681-91F6-11D2-8F2C-444553540000GUID11488-4LetterLN20050222+10000341616XWHITEWILSONDRAUSHICPRLUPINFrom Buderim GE Centre in File dated 16.04.2005LN=3E031303-8A3C-11D9-860B-00CA050276D020050224+1000F0341616XWHITEWILSONDRAUSHICPRLUPIN0191322WANDERSONTHOMASDRAUSHICPRLUPIN0341615JANDREWSJOHNDRAUSHICPRLUPIN0191322WANDERSONTHOMAS1FT11488-4LN AM/slc/JJ080176 Dictated: 22.02.05 Typed: 24.02.05Dr Wilson White14 Daniel StreetNAMBOUR QLD 4560 cc: Dr John AndrewsDear Wilson,Re: June Jones D.O.B. 08.01.76I reviewed June with her husband today. She came along really looking foralternatives to cholecystectomy as "there is no way she is having that".As I explained to her, her dilated bile duct really suggests that her gallbladder is not working and it has not been working for many years. Even ifwe could clear her gall bladder with shock wave therapy or dissolvingagents the odds are that it still would not work and form stones againrapidly. It also provides a reservoir for new stones to enter the bileduct and a place where biliary mud can form and later solidify in the bileduct to form soft primary duct stones and then you end up in a cycle ofchronic infection which in many cases can never be satisfactorily resolved. Several patients have regular clean outs of their bile duct because theycontinue to form soft primary duct stones.I think I finally got through to her that cholecystectomy is the bestoption and the option most likely to be beneficial to her and thatfollowing any other path is probably higher risk although without a crystalball it is always hard to predict.I suggested she discuss it with you and make an appointment to see JohnAndrews with a view to cholecystectomy and hopefully this will happenwithout further ado.Thank you for asking me to review her.Yours sincerely,Thomas AndersonGastroenterologist.F2FTPITAUSPDI001 Medical-Objects 07 01/07/1996002 003 Report Run Number: 1 Created: 17/04/2005 at 22:51:04004 Surgery: XXX Reports: 24/02/2005 00:00:00 to 24/02/2005 00:00:00 009 ---------------------------------------------------------------------------010 WHITE,DR. WILSON 0341616X019 ---------------------------------------------------------------------------020 Your Ref. Patient Name Lab Ref. Test021 JONES,June 3E031303-8A3 Letter029 ---------------------------------------------------------------------------100 Start Patient : JONES,June 101 24 Sutherland Street, BUDERIM QLD 4556 104 Birthdate: 08/01/1976 Age: Y29 Sex:F105 Telephone: 07 109 110 Your Reference : 111 MO Reference : 3E031303-8A3C-11D9-860B-00CA050276D0112 Medicare Number: 115 Phone Enquiries: Thomas ANDERSON (0191322W) 119 121 Referred by : WHITE,DR. WILSON 122 Copy to : ANDERSON,DR. THOMAS 122 Copy to : ANDREWS,DR. JOHN 123 Addressee : WHITE,DR. WILSON 0341616X129 200 Start of Result:201 Specimen :203 Requested : 22/02/2005204 Collected : 22/02/2005 00:00205 Name of Test : Letter 206 Reported : 24/02/2005 00:00207 Confidential : N208 Test Category : N209 210 Normal Result : Y299 301 301 301 AM/slc/JJ080176301 Dictated: 22.02.05301 Typed: 24.02.05301 Dr Wilson White301 14 Daniel Street301 NAMBOUR QLD 4560301 301 cc: Dr John Andrews301 301 Dear Wilson,301 Re: June Jones301 D.O.B. 08.01.76301 301 I reviewed June with her husband today. She came along really looking for301 alternatives to cholecystectomy as "there is no way she is having that".301 301 As I explained to her, her dilated bile duct really suggests that her gall301 bladder is not working and it has not been working for many years. Even if301 we could clear her gall bladder with shock wave therapy or dissolving301 agents the odds are that it still would not work and form stones again301 rapidly. It also provides a reservoir for new stones to enter the bile301 duct and a place where biliary mud can form and later solidify in the bile301 duct to form soft primary duct stones and then you end up in a cycle of301 chronic infection which in many cases can never be satisfactorily resolved. 301 Several patients have regular clean outs of their bile duct because they301 continue to form soft primary duct stones.301 301 I think I finally got through to her that cholecystectomy is the best301 option and the option most likely to be beneficial to her and that301 following any other path is probably higher risk although without a crystal301 ball it is always hard to predict.301 301 I suggested she discuss it with you and make an appointment to see John301 Andrews with a view to cholecystectomy and hopefully this will happen301 without further ado.301 301 Thank you for asking me to review her.301 301 301 Yours sincerely,301 301 301 Thomas Anderson301 Gastroenterologist.301 309 319 390 End of Report :399 ---------------------------------------------------------------------------999 END OF LISTING - Run Number:1 17/04/2005 22:51:04F