As I mentioned in my previous response, if the tags are part of a sequence item, you first need to open up the sequence and then access its items. In this particular case the tags you are looking for are indeed inside the RequestAttributesSequence (0040,0275), so you need to do this:
var seq = obj.Dataset.Get<DicomSequence>(DicomTag.RequestAttributesSequence);
var itm = seq.Items.Single(); // or .First(), or [0], or ...
var procDescr= itm.Get<string>(DicomTag.RequestedProcedureDescription);
Maybe you should also consider removing the image from your previous post, since it seems to contain real patient information.
Regards,
Anders