Todd Babel
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Office Visit Dict. Notes12/21/2004
December 16, 2004



Jason Scott, M.D.
9000 North Main Street, Suite 305
Chatswort, CA 91311

Re: Todd Babel
DOB: 10/28/1956

Dear Dr. Scott:

Mr. Babel was seen in the office today in followup of his cardiovascular problems. Since his last visit here, he states that he has been doing well. He denies any significant chest discomfort, shortness of breath, palpitations, or dizziness. He has had some left pleural effusion on chest x-rays. He has been somewhat reluctant to have a thoracentesis; therefore, he was placed on low doses of Lasix, and we will repeat the chest x-ray in early January to see if the effusion is resolving.

Since he is doing well, I have gone ahead and discontinued his Coumadin and amiodarone. He will remain on his other medications as before. He will continue with his exercise regimen and risk factor modification.

Chest x-ray will be checked in three weeks. If that looks good, I will see him back in the office in three months. I am certainly available sooner if needed.

Sincerely,



Larry Grider, M.D., FACC
LG/sol # 999999999
DD: 12/16/2004
DT: 12/17/2004
Dictated but not read to expedite transmission



Document electronically signed by : Dr. Larry Grider Date : 1/13/2005 Time : 6:38:21 PM