THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rod@welchco.com


S U M M A R Y


DIARY: December 12, 2000 03:00 PM Tuesday; Rod Welch

Visit Steve Olsen's office for dental checkup.

1...Summary/Objective
2...Periodontal Exam Consideration in 18 Months
3...Occlusal Night Guard


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CONTACTS 
0201 - Steven K. Olsen, DDS.                                                                                                                                              
020101 - Dr. Steven K. Olsen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

SUBJECTS
Cleaning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
X-Rays                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
0504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0504 -    ..
0505 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
0506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
050601 - Follow up ref SDS 7 0000, ref SDS 6 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
050602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050603 - Russ took a small set of xrays to supplement information developed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
050604 - from the prior examination on 000513, ref SDS 5 0001, and the prior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
050605 - visit on 990915. ref SDS 3 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
050607 -  ..
050608 - Russ did the cleaning and found two large chunks of calcium on the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
050609 - front lower teeth.  He urged greater care to avoid this problem.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
050611 -  ..
050612 - Russ recommended considering dental visits every 4 months instead of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
050613 - every 6 months, as a precaution to reduce the impact of this new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
050614 - problem.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
050616 -  ..
050617 - Russ noted that using an electronic tooth brush, Oral B/Braum,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
050618 - manufactured by would help avoid the build up, and make unnecessary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
050619 - the extra dental visit.  At this time we decided to continue the 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
050620 - month schedule.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050622 -  ..
050623 - Steve did an examination after the cleaning.  He said there are no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
050624 - cavities and no indication of other problems, based on visual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
050625 - inspection and review of the new xrays taken today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
050626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
0507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

SUBJECTS
Periodontal Gum Recession, Pockets,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
2403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
240401 -  ..
240402 - Periodontal Exam Consideration in 18 Months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
240403 - 
240404 - Steve suggested that in another 18 months or so we need to visit the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
240405 - periodontist to follow up examination on 990503 that showed continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
240406 - improvement in gums. ref SDS 2 3750  He did not report finding any                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
240407 - visual indications of gum problems, and there have been no evident                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
240408 - signs of problems, such as bleeding gums or other discomfort, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
240409 - occurred previously, when periodontal work was completed on 880419.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
240410 - ref SDS 1 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
240411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
240412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
240413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
240414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
240415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
240416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
2405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

SUBJECTS
Grinding Requires Retainer, 000613                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
2503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
250401 -  ..
250402 - Occlusal Night Guard                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
250403 - 
250404 - Follow up ref SDS 7 0001.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250406 - I mentioned the occlusal issue that is a $400 charge from Steve's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
250407 - office.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
250409 -  ..
250410 - Explained have not been able to wear the night guard because it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250411 - causes gum irritaiton.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
250413 -  ..
250414 - Steve said he sees continued evidence of teeth grinding, but is not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
250415 - sure if it is any worse that previously.  If it is not worse, that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
250416 - means that prior grinding has stopped and the night guard is not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
250417 - necessry.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
250419 -  ..
250420 - Steve suggested I try the night guard again.  If it is still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
250421 - uncomfortable, bring it in and they will modify it to eliminate that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
250422 - problem.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
250424 -  ..
250425 - Steve advised that we can tell if the night guard is needed by looking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
250426 - for evidence of wear on the night guard.  If there is no significant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
250427 - wear, that will mean the prior grinding has stopped.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
250429 -  ..
250430 - Steve said the charge of $400 is incorrect.  he said the the amount he                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
250431 - put in the chart was $175, but someone incorrectly wrote over his                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
250432 - figure the amount of $400.  He entered a credit of $225 in the chart.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
250433 - The office will send a revised invoice for $175.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
250434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250435 -      [On 010206 paid for Oclusal. ref SDS 8 563F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
250437 -       ..
250438 -      [On 020423 similar problem occurred increasing a charge from $150                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
250439 -      to 200. ref SDS 9 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
250440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
2505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
2506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
Distribution. . . . See "CONTACTS"