Intrathecal Baclofen Pump
Maintained and Filled by:

Tai Pham, PA-C
Southern Nevada Pain Center
6950 W. Desert Inn, Suite 110
Las Vegas, NV 89117
Office: 702-259-5550 Fax: 702-259-5554

PHARMACY (Baclofen)
Bond Pharmacy inc DBA
Advanced Infusion Systems
623 Highland Colony Parkway, Suite 100
Ridgeland, MS 39157
Phone: 877-433-4006  Fax: 888-298-2220
insurance@aispharmacy.com
               Other Fills including dosage increases:
2015
PUMP REMOVED BY DR. SCHMIDT 28 AUGUST 2015
28 July - Drain Baclofen, fill with saline, power-off pump.
14 July adjustment
50g/day
30 June adjustment
100g/day
16 June adjustment
150.03g/day
02 June adjustment
200.35g/day
19 May adjustment
250.05g/day
28 April adjustment
300g/day
14 April
360.40/day
30 January
2014 2013 2012
02 December 17 December 14 November
19 Sept 18 October 07 September
10% Increase: 01 Aug 17 August 27 June
11 July 12 June 11 April
02 May 10% Increase: 01 May 01 February
25 February 03 April
25 January
2011 2010 2009
16 November 10 December 09 December
07 September 02 September 10 April
03 August 10% increase: 19 August 27 March
9% increase: 20 May 17 February
04 March 13 February
02 February
Implanted 14 January 2009

Pump Manufacturer
http://Medtronic.com
Serial # NGV423092H  /  Model # 8637-40
Implant Date: 14 January 2009

Medtronic Recall Notice

Procedure performed by:

Daniel Lee, M.D.
Nevada Orthopedic & Spine Center
2650 N. Tenaya Way, #301
Las Vegas, NV 89128
702-878-0393

Procedure performed at:

St. Rose Dominican Hospitals
San Martn Campus
8280 West Warm Spring Rd
Las Vegas, NV 89113
(702) 492-8000

My own account of the process and results getting Intrathecal Baclofen Pump

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