Neil Gillespie medical records UF Shands

8/9/2019 Neil Gillespie medical records UF Shands

1/12

Shands

at

the University of Florida

P.O. BOX 100345

Gainesville, L 32610

Date: 03/25/08

NEIL GILLESPIE

NEIL GILLESPIE

8092 SW 115TH LOOP

OCALA, FL 34481

RE: GILLESPIE, NEIL

We have received your request for medical information, but are unable to process it for

the following reason(s):

See below

Attached is a complete copy

of

your medical records from the Shands Hospital chart.

The original request and authorization is enclosed. Please resubmit the additional

information along with the original documents.

Ifwe

may be

of

further assistance, please feel free to contact us.


2/12

h a r t ) n c ~ Inc.

TIli\NI(

V()U F()f{ lJSINeJ

)UR

SERVl( ES

I hIS

has referred your request for rcproduct

ion

or nledical records

to

( hart()ne, Inc. for processing.

Please nOll

thIS

Inf()rn1alion rnay have been dIsclosed to you f} on1 records vvhose confidentIality is

by federal la\v Federal

(4-2

C FR, part 2). prohibits you fl onl

J11aking

any further

disclosure of thesc records \vlthout \Vr1ttcn consent of the person to \VhOnl it pertains, or

as

othcnV1se pernl1tted such j authorization for the release of Inedical or other

In

fonnation IS not suffic1ent

for

this purpose.

\Ve realize you have a choice to use the services

of

( han()ne. Inc., to provIde you \vith

the

reproduction of

the records you

requestIng or to nlake other

arrangeillents

\vhich. depending upon 1he facility and

include the lise or a record rcproductlon service or Il1ay include copyIng the

records \Ve appreCIate ha\

Ing

the opportunity to serve you and \vould like

to

continue

processLng your

requests at this l ~ l c i l i l y

Enclosed

is

our HIVOICC for

~ e r v i c e s

rendered

in

providIng the reproduction or the n1edical records you

()ur

feeS

are based upon I nurnber of cnlcna Including state or federal statutes (\vhere

and rnay c o n ~ l S t of a fee, a per page f cc. s a l e ~ ta.\ \vhere applicable. and/or shipping and

that include both and delivery

(Llnlcss

stated

in

your request lhat the records

\\:111

be up

at

the

L1Cility).

()ur ~ e r \ ices arc intended to provide

to yOll

a high quality producl

at

a

r c a ~ o n a b J e pnce,

Should ynu ha\ c

any

q u c ~ u o n s our ~ e r \ 1 C C ~ .

contact our C ustolner Service [)epat1rnent at

:-


3/12

03-07-2003 04:09

NEIL GILLESPIE

PRGE2

O l d f t o 3 ~

FA

~

¥

r;

I P18 0111111111111111

Shand6 at Univoriity of nDttdil PO Rnx 1003"5, Gains& Villo•• L 32610-0.145

3,;

;L ' }.6

;

RlOOO1

~ o n 8 : (352) 265-0131

Fax: (352)

265-1098

o Shands Lake Shore 368 NE Franklin Slreel.

Lake

City, FL 32055

ptwrlc:

(386) 754-6100

Fax: (388) 754-8106

Shands

o

~ n 8 l 1 ( 1 S

I lVe

Oak

1100

SW

11th t;treet,

LivA

Oak. FL 32064

Phone: (386) 362-0800

I (386) 3iji'-oRQ1

X:\

:i,-::d

thi

( , ~ : ...:)

Ct"

o

Shand& Starke

922 t. CeJl Atr..t,

Starke. FL

32091

Phone:

(9 V

,

Tk

.

.Ii Ie.

Name: __

J _ ~ _ I - - I '

' 1 . - - ~ = . ~ , _ I _ J t * _ 5 ~ ~ t 3 - ' : : I ~ C ; _

Attention: ,

Telephone

:

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ddress:

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, _

ity:

State:

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~ , - \ ~ J ~ l l - ~ r t

Purpose

of release For

flxcUllplfJ: contillued

c..1fP.,

per.qonsl.

etc.): . . ~ . . . . ; : f t : . ; ; ; - . 2 - ~ . c ; : : a · .

u ; ; . . ; ; ~ . . . . . ; . . . . ; ; L = : . . . .

_

.,/ r .

Specific items or

dates needed: --' f...JJJ.:".(Y 1 '11(1

'Ill;,,'

6 ~ ~

t 9 ) r / _ L - N t - = - ~ = - - _

I I

Cardiovascular Reports

n EKG Report 0 Laboratory Results

I I Pathology

Report. '

n Radiology (X

ray) Reports 0 History &

Physical U

Operative Report

n Discharge

SuinmkY.

L.'J

Emergency Room I I Other _

Needed

for doctor's appointment

on: .

,.

.

'

-t

(Date) (Time)

':

.."

: r > ~ . , · '

C > ~ , - J

This authorization is

release

of medical records

and

information inclUding ~ i a g n o s i 6 . treatment. and/or X ~ i n a t i ~ n r e l a , . l , ~ d ~ , . ~ , ~ ; : : : : r - , -,-, ' ~ \ f -

mental health (psych.atry or psychology). drug and/or alcohol abuse. HIV testing/AIDS. and sexually transmiSSIble d l s e a s ~ i ~ : · . ,. ···· ~ ~ ; ; · ~ ~ ~ i ~ ~

•• i _ _ ~ ~ . . . ' ' I I t•.) -


4/12

03-07-2003

04:08 NEIL

GILLESPIE

PAGE1

Fax

From:

Neil J. Gillespie

8092 SW 115

th

Loop

Ocala, FL 34481

Telephone: (352) 854-7807

To: Patty

Cuello

Health Information & Record Management

Fax:

(352) 265-1098

Date: March 3 2008

Pages:

two

(2)

including

this

page

Re: Wa,nt to

schedule appointment to view

my

medical records

Sllands IIealth Infonnat1 )n cmd Records Management Department

[0:

Patty

u e l l o ~

Accompanying this fax is a signed authorization for Usc

or

Disclosure

of

Protected I lealth

Infonnation.

I

want to schedule an appointment to view my medical

and

any (lther i l e s ~

such as tinancial records. Please contaL1 me to schedule an appoin1mcnt.


5/12

j

.

SHANDS HOSPITAL

at the University

of Florida

Gainesville, Florida

32610

THIS

MEDICAL RECORD

IS THE PROPERTY OF

SHANDS

HOSPITAL AT

THE

UNIVERSITY OF FLORIDA MEDICAL CENTER AND CANNOT

BE

REMOVED FROM

THE

MEDICAL CENTER WITHOUT A COURT

ORDER,

SUBPOENA OR STATUTE.

PLEASE NOTIFY THE

RECEPTIONIST,

SECRETARY AND/OR HEALTH INFORMATION

AND RECORD MANAGEMENT PRIOR TO REMOVING THE MEDICAL RECORD FROM

A DESIGNATED AREA WITHIN

THE

MEDICAL CENTER.

PATIENT ALLERGIC/ADVERSE REACTION: (To

Be Completed by

Physician

DATE

DRUG

SIGNATURE


6/12

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7/12

Plastic

and

Reconstructive Surgery

SHANDS CLINIC

at ark

venue

1015

NW

6th Terrace

Gainesvill e, FL 32605

352/395-6810

352/395-6811 Fax

February 4, 1997

CLINIC NOTE

RE: GILLESPIE, Neil Jose

:MR 01

04 40 32

This

is

40-year-old gentleman who has velopharyngeal insufficiency after unilateral cleft

lip palate treatment. He had an attempted pharyngeal flap done by Dr. Mallard in about

1990. The flap dehisced and therefore was a failure. He has been managed with an

obturator and he

is

doing moderately well. He

is

still interested in the surgical solution

if

that

is

possible.

He is

in good general health otherwise. His physical examination today

indicates a relatively unremarkable situation except that there is no uvula and when the

palate is lifted with an "Ah" kind

of

sound, it is clear that this elevation is more of the

shape and it isn't very much the prominence in the midline, otherwise unremarkable. I

have a report from the videofluoroscopy indicating a 11-12 mm gap. Apparently he had

nasal pharyngoscopy today.


8/12

·

.

Craniofacial Center PO Box 100424

Health Science Center

Gainesville, FL 32610-0424

Telephone:

352)

846-0801

Fax

352) 846-1539

e-mail: [email protected]

Clinic Report: Videofluoroscopic assessment

o

the velopharyngeal

port

during

function for speech

Re:

Neil Gillespie

Dental No.:

~ B g 41

Medical No.:

10-44-032

This forty year old white male was seen on November 25, 1996

for

a videofluoroscopic

assessment

o

his velopharyngeal port during function for speech.

Mr

Gillespie is currently

wearing a speech bulb obturator, and his speech resonance frequently alternates between

hyponasality and hypemasality. The purpose o today' s filming was to determine the size,

configuration and placement of the bulb in the nasal pharynx to determine i alteration o

these factors can improve his overall resonance quality. The nasal pharyngeal structures

were coated with a thin barium sulfate solution to aid in defining soft tissue contrast.

Records were obtained in the lateral and frontal (A-P) planes with and without the speech

bulb obturator.


9/12

Neil Gillespie

Fluoroscopic assessme..

f

VP Function for

Speech

November 25

1996

In summary,

Mr.

Gillespie presents with a speech pattern characterized by near normal

resonance but which frequently alternates between byponasality and hypernasality.

He

is

currently wearing a speech bulb obturator and

today s

assessment revealed p lacement

and

configuration to

be

near optimal. Without the obturator,

Mr.

Gillespie s speech is

significantly hypemasal and although the velum elevates appropriately there remains a

consistent gap

of

10 - 12 mm during speech.

In

order to further define whether

any

improvement can be made to the speech bulb obturator

or

if a secondary surgical technique

might be a viable consideration, a nasendoscopic assessment should be conducted.

IT I can be

of

any further assistance in the interpretation of this fIlm please call me at (352)

846-0801

j ~ ~ t ~ ~

W. N. Williams, Ph.D.

Speech-language Pathologist

cc:

Mr.

Neil Gillespie

1121 Beach Drive, N.E.

Apt. C-2

5t. Petersburg, FL 33701-1434

Mr. Glenn Turner

P.O. Box 100435 JHMHC


10/12

..

• SHANDS

HOSPITAL

. . at the niversity of Florida

F CE SHEET

COUNlY

SPEC.

HANDUNG

FL 33701

5497Zi

WORK

01044032

MEDICAl.. RECORD

NUMBER

i 605Z5 i7A

WA

PHONE

WORK

STATE

ZIP

150-52

36 0) 785-

53··: It9

DISABLED

DISCHARGE DATE

HOME

HOME

EMPlOYER

NAME

31

01Y STATE

ZIP

Na


11/12

.

"

SHANDSTEACHINGHOSPITALANDCLINICS, INC. (SHANDS HOSPITAL)CERTIFICATION

AND

AUTHORIZATION

Patient Name ~ \ O J >

Q.

~ q { u Admission Date \ \ -

C>l :=S -


12/12

·

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12 PARI(

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SOMERVILLE, MA 02143

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1-800·343·2040

Neil Gillespie medical records UF Shands

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