INSTRUCTIONS:
Cost Center 362 – Hepatology (includes GI Liver Clinic and Liver Transplant)
Dictated Worktype: 9, 19 or 17
Type as Worktype: 11 – Hospital 1, Parnassus
Letterhead normal: CC362
There are four different letterheads to choose from. Please choose according to clinic type (GI
Liver or Transplant), dictator and/or location. Dr. Peters has two letterheads for her clinics.
Letterhead for Liver Clinic CC362::
GASTROENTEROLOGY PRACTICE
350 Parnassus Avenue
Suite 410, Box 0657
San Francisco, California 94143-0657
Tel: (415) 353-2318 Fax: (415) 353-2407
BILL AREA: OHP (if subheader necessary, Bill Area goes underneath subheader.)
Possible subheadings, bold+center+underline, if dictated:
LIVER CLINIC
or
HEPATOLOGY
And possibly a location subtitle
LAS VEGAS CLINIC
or
FRESNO CLINIC
Or
SANTA CLARA VALLEY MEDICAL CENTER
Letterhead for Liver Transplant Clinic (CC362LT):
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
LIVER TRANSPLANT SERVICE
505 Parnassus Avenue
Room M-884, Box 0657
San Francisco, CA 94143-0657
Tel: (415) 353-1888 Toll-Free: (800) 548-3789
Pre-transplant Fax: (415) 353-8917
Post-transplant Fax: (415) 353-8917
BILL AREA: OHP (if subheader necessary, Bill Area goes underneath subheader.)
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INSTRUCTIONS CC362 (continued)
Possible subheadings, bold+center+underline, if dictated:
LAS VEGAS CLINIC
Or
FRESNO CLINIC
Attending physicians:
NATHAN M. BASS, M.D., PH.D.
PROFESSOR OF MEDICINE
MEDICAL DIRECTOR, UCSF LIVER TRANSPLANT PROGRAM
GASTROENTEROLOGY FACULTY PRACTICE
KIRAN BAMBHA, M.D., M.Sc.
ASSISTANT PROFESSOR OF MEDICINE
HEPATOLOGY AND LIVER TRANSPLANTATION
DIVISION OF GASTROENTEROLOGY
UNIVERSITY OF CALIFORNIA SAN FRANCISCO
SCOTT W. BIGGINS, M.D., M.A.S.
ASSISTANT PROFESSOR OF MEDICINE
ALEXANDER MONTO, M.D.
ASSISTANT CLINICAL PROFESSOR OF MEDICINE
GASTROENTEROLOGY FACULTY PRACTICE
NORAH A. TERRAULT, M.D.
ASSOCIATE PROFESSOR OF MEDICINE
GASTROENTEROLOGY FACULTY PRACTICE
(see attached memo and sample)
FRANCIS YAO, M.D.
PROFESSOR OF CLINICAL MEDICINE AND SURGERY
MEDICAL DIRECTOR OF LIVER TRANSPLANTATION
UCSF GASTROENTEROLOGY FACULTY PRACTICE
RENA FOX, M.D.
MONTGOMERY BISSELL, M.D.
OREN K. FIX, M.D., M.Sc.
ASSISTANT CLINICAL PROFESSOR OF MEDICINE
HEPATOLOGY AND LIVER TRANSPLANTATION
Reminder: Please type Dr. Fix's reports exactly as dictated.
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Confidential Property of Acusis
INSTRUCTIONS CC362 (continued)
Other dictators:
ELIANA AGUDELO, PA-C
SENIOR PHYSICIAN ASSISTANT
DIVISION OF GASTROENTEROLOGY
Letterhead and signature block for Marion Peters, M.D.
Dr. Peters has a separate letterhead for her regular liver patients and for her liver transplant
patients.
THIS IS ONLY FOR DR. PETERS’ REGULAR LIVER PATIENTS, THAT IS, NOT LIVER
TRANSPLANT PATIENTS:
Letterhead normal: CC362MP
GASTROENTEROLOGY PRACTICE
400 Parnassus Avenue
Fourth Floor, Box 0538
San Francisco, California 94143-0538
Tel: (415) 353-2318 Fax: (415) 353-2407
BILL AREA: OHP
MARION G. PETERS, M.D.
PROFESSOR OF MEDICINE
GASTROENTEROLOGY FACULTY PRACTICE
THIS IS ONLY FOR DR. PETERS’ LIVER TRANSPLANT PATIENTS:
Letterhead normal: CC362MPLT
GASTROENTEROLOGY PRACTICE
400 Parnassus Avenue
Sixth Floor, Box 0538
San Francisco, California 94143-0538
Tel: (415) 353-2318 Fax: (415) 353-8917
BILL AREA: OHP (if subheader necessary, Bill Area goes underneath subheader.)
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INSTRUCTIONS CC362 (continued)
Possible subheadings, bold+center+underline, if dictated:
LIVER TRANSPLANT OFFICE CONSULTATION (or FOLLOW-UP or other subtitle)
MARION G. PETERS, M.D.
PROFESSOR OF MEDICINE
GASTROENTEROLOGY FACULTY PRACTICE
Memo and sample - Norah Terrault, M.D.
Dr. Norah Terrault (cost center 362) has requested we use the same format for all her letters. As per the
attached sample, all subheadings should be CAPITALIZED AND BOLD. Use subheadings as dictated,
but Dr. Terrault notes that for follow-up patients those are Chief Complaint, Interval History, Medications,
Examination, Laboratory Results, and Impression and Plan. For new patient dictations, History of
Present Illness is used instead of Interval History, and there are the additional subheadings Past History,
Family History, and Social History.
For all clinic letters, please use subheadings as dictated. It is not necessary to "convert" headings into
narrative text. As Dr. Terrault points out, the use of subheadings lends clarity to particularly lengthy
letters.
SAMPLE FOR DR TERRAULT:
I had the pleasure of seeing this patient in followup today in the UCSF Liver Transplant Clinic.
CHIEF COMPLAINT:
Status post liver transplantation for fulminant hepatic failure.
Hepatitis C acquired in the peritransplant period, with grade 2, stage II disease on most recent
biopsy (January 2004).
Status post treatment with interferon and ribavirin without viral clearance.
INTERVAL HISTORY: The patient returns today to review the results of his liver biopsy. In
essence, his disease appears to be stable over the past year with no progression of fibrosis.
Given these findings, we are in a position to consider deferring treatment for another year. As
you know, he was previously treated with antiviral therapy (interferon and ribavirin combination)
but failed to achieve viral eradication. Treatment was most problematic from the standpoint of
exacerbating his headaches.
CURRENT MEDICATIONS:
PHYSICAL EXAMINATION: He looks well. Weight 166.6 pounds (minus 3), blood pressure
122/86, pulse 83, temperature 36.6°. Sclerae are anicteric. Neck supple. No lymphadenopathy.
Chest clear to auscultation and percussion. Heart sounds normal. Cardiac rhythm regular.
Abdomen soft, nontender and nondistended. A well-healed incision. No peripheral edema. No
tremor.
LABORATORY RESULTS: From 03/04/2004, white count 4.2, hemoglobin 12.9, platelets 104,
pro time 11.7, sodium 141, potassium 3.7, urea 18, creatinine 1.0, AST 75, ALT 70, bilirubin 2.1,
alkaline phosphatase 90.
IMPRESSION AND PLAN: Status post liver transplantation for fulminant hepatic failure
complicated by hepatitis C post transplantation. He is now nearly 15 years post transplantation
and is overall doing extremely well.
I made no changes in his medications today. He will follow up with the transplant surgeons on
his next visit, at which time his immunosuppressive therapy will be re-reviewed. He currently
remains on monotherapy with CellCept. He appears to be tolerating this medication very well.
If you have any questions, please do not hesitate to contact me.
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Rev. 03/25/10
Confidential Property of Acusis