11/24/2014, OP-Transplant Surgery note by Dr. Richard Stravitz. The claimant was doing well, with no ascites and no pedal edema. The MRI was canceled. Her hemoglobin a1c was 5.9. The claimant's condition was significant for marked anemia. She underwent blood transfusions for a total of three units. Her upper gastrointestinal endoscopy revealed a probable gastric antral vascular ectasia with antral bleeding. She also had esophageal candidiasis. She had an abnormal complete blood count remarkable for a low white blood count of 6.4, hemoglobin of 6.6, and platelet count of 57. The claimant was diagnosed with severe iron deficiency anemia. The treatment plan included initiating oral iron supplement, cancer surveillance, monitor TIPS patency, and regular…show more content… Richard Stravitz. The claimant was seen for the evaluation of cirrhosis. She was on disability secondary to symptoms such as persistent fatigue, problems with memory and forgetfulness, and chronic diarrhea. She was also having problems with Rifaximin based on the cost. She complained of nausea and vomiting, as well as the onset of a menstrual period which she has not had for many years. The provider indicated that the claimant does not need to complete the transplant evaluation to be listed. She had improved after cessation of alcohol use, and was expected to remain stable and further improve with treatment. The claimant continued to have significant fatigue and issues with poor concentration and poor memory which might make her job as a mechanic difficult if not dangerous. The provider indicated that the claimant was still disabled at this time. A monthly reevaluation and monitoring were recommended to evaluate the claimant's return to work status. With regard to her vaginal bleeding, the claimant was referred to an OB-gyne. She will be seen every three years for colonic polyps and colonoscopy. The claimant was instructed to return for a follow-up after three
