THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
S U M M A R Y
DIARY: April 23, 2002 02:00 PM Tuesday;
Steve Olsen's office for dental work to fix a cavity.
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0201 - Steven K. Olsen, DDS. 415 398 4400
020101 - Dr. Steven K. Olsen
Cavities, Fillings, Crowns
0404 - ..
0405 - Summary/Objective
040601 - Follow up ref SDS 8 0000, ref SDS 7 0000.
040603 - Initially talked to Jillian.
040605 - She asked me to sign a document showing the estimated cost of
040606 - treatment.
040608 - Everything was blank, but our record shows that during the visit last
040609 - month on 020323 Steve offered to do the work for $150. ref SDS 8 JW7M
040611 - After I signed the form, Jillian filled out the various blanks in the
040612 - form and said the estimated cost of treatment is $255.
040614 - I asked how $150 became $265?
040615 - ..
040616 - Jillian indicated that the cost of treatment today is $200 and
040617 - there is an outstanding balance of $65 for treatment on 020320.
040619 - We reviewed the record showing Steve's invoice was received yesterday
040620 - in the amount of $65 for treatment on 020320. This will be paid OA
040621 - the 10th of the month with other payables. Jillian noted that our
040622 - account has been in good standing for a long time. She seemed to say
040623 - that Steve has changed billing policy, and now wants payment in
040624 - advance of doing treatment, despite a good payment record.
040626 - We also reviewed the record showing that Steve quoted $150 to repair
040627 - tooth #4 in our meeting on 020320, when he supervised cleaning and
040628 - noticed the need for further work. ref SDS 8 JW7M
040630 - Jillian related that prices have gone up since Steve gave that quote.
040631 - She decided to visit with Steve prior to performing treatment. After
040632 - a few minutes, Jillian returned and said that Steve had marked $190 in
040633 - the patient chart as the cost of the work today. She showed the chart
040634 - Steve used during the prior meeting. It was difficult to make out
040635 - what Steve had written, as noted on 020320, ref SDS 8 GO5F so Jillian
040636 - suggested talking to Steve further during treatment today.
040637 - ..
040638 - We did not discuss how $150 or $190 written in the chart got
040639 - changed to $200, similar to the mixup on the occlusal, which Steve
040640 - clarified on 001212. ref SDS 5 G29I
040642 - After this discussion, I was taken to the treatment area.
040644 - Jason did the prep work.
040646 - Steve came in shortly and we discussed original understandings that
040647 - the cost of treatment today is $150, per our meeting on 020320.
040648 - ref SDS 8 PF7O
040650 - Steve seem unconcerned, and simply said that if $150 is agreeable, he
040651 - will accept that.
040652 - ..
040653 - Explained Millie is making good progress, and begins
040654 - chemotherapy treatment today, per meeting at Kaiser on 020405.
040655 - ref SDS 9 0001
040656 - ..
040657 - We reviewed the scope of work again.
040658 - ..
040659 - Steve explained a prior filling is failing, so he is going to
040660 - remove it, clean the area, and then construct a new filling to prevent
040661 - spread of further decay.
040663 - Steve deadened the area with novocaine, and about 10 minutes later he
040664 - did the removal work by drilling out the existing filling.
040666 - After this was done, Jason did the filling itself. He is a dental
040667 - assistant waiting for a class opening, similar to Kirk and Russell who
040668 - worked in Steve's officer previously, and are now in dental school.
040669 - Jason advised that dental school is a 4 year program, then there is a
040670 - residency period. He noted that being a dental assistant is a big
040671 - help for tackling formal education to become a dentist.
040673 - Jason was competent and professional.
040674 - ..
040675 - I mentioned recent digestion issues that limit ability to lay
040676 - back in full horizontal position, that has been used in the past to
040677 - provide a good working angle for dental work.
040679 - Steve and Jason both accommodated this new condition.
040680 - ..
040681 - After Jason completed setting the replacement filling, Steve
040682 - came back and polished the surface to achieve a good contour relative
040683 - to the other teeth. He used a dental floss string to check the degree
040684 - of tension between the filling and adjacent teeth, and was pleased
040685 - with this result. It feels okay in biting down, and there is no
040686 - evident issue from feeling the area with the tongue.
040687 - ..
040688 - Steve wrote in the chart that the cost of the work today is
040689 - $150. He accompanied me to the front desk and explained our agreement
040690 - to Len.
040692 - Steve also reminded about getting ACT mouth wash to reduce the risk of
040693 - these cavities, per the meeting on 020320. ref SDS 8 0F65
040695 - Len will submit an invoice as in the past.
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