THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rodwelch@pacbell.net


S U M M A R Y


DIARY: October 11, 2004 10:20 AM Monday; Rod Welch

Called Michelle at Stanford about admission forms.

1...Summary/Objective


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CONTACTS 
0201 - Stanford Medical Center                                                                                                                                            O-00000837 0604
020101 - Ms. Carol Walovich, RN; Manager
020103 - Stanford Referral Center and Liason Services                                                                                                                     O-00000837 0604
0202 - Stanford Medical Center                                                                                                                                            O-00000837 0608
020201 - Ms. Michelle Malig; New Patient Coordinator
020203 - Stanford Referral Center and Liason Services                                                                                                                     O-00000837 0608

SUBJECTS
2nd Opinion Stanford Medical Center Cancer Center Doctor Guardino
Medical Records Transferred Confirm Letter to Michelle Stanford Medi

0604 -
0604 -    ..
0605 - Summary/Objective
0606 -
060601 - Follow up ref SDS 7 0000. ref SDS 6 0000.
060602 -
060603 -
060604 -
060606 -  ..
0607 -
0608 -
0609 - Discussion
0610 -
061001 - Michelle also said that Stanford does not provide a form online that
061002 - patient's can fill out and submit via email or fax in order to
061003 - expedite admission.
061005 -  ..
061006 - Michelle said she has not had time to review the letter to her on
061007 - 041008, ref DIP 5 0001 confirming performance of requirements in the
061008 - documents she submitted reported in the record on 041007. ref SDS 6
061009 - 0001  A copy was sent to Carol, who is the manager of the Referral
061010 - department.  Michelle does not know if Carol has received the the copy
061011 - sent to her.
061013 -  ..
061014 - Michelle advised that Stanford prefers patient's hand carry medical
061015 - records, in order to verify submission directly to the doctor on the
061016 - day of the meeting.  She explained it helps for patients to go through
061017 - the documents and place things in order that makes it easier for the
061018 - doctor to understand case history.
061019 -
061020 -        [On 041012 Sheridan at UCSF made same request. ref SDS 8 4Q7Y
061022 -  ..
061023 - We discussed the advantage of keeping the chain of custody in tact by
061024 - relying on professionals who are experienced handling and organizing
061025 - medical records.  Experts who do this all the time, and so are better
061026 - positioned to know what is needed for effective care, which they are
061027 - paid to provide, and are better able by virture of daily experience
061028 - handling medical records, than are patients, who rarely see their
061029 - records.
061031 -  ..
061032 - Michelle said that Kaiser can mail medical records to...
061033 -
061034 -               Stanford Cancer Center
061035 -               875 Blake Wilber Drive
061036 -               Stanford, CA  94305
061037 -               Room Number:  C1205
061039 -  ..
061040 - Michelle explained that she has been told in staff meetings that
061041 - Stanford prefers patients to hand carry medical records and try to
061042 - organize the documents, because otherwise there are often problems
061043 - when this work is performed by the hospital.
061044 -
061045 -        [On 041012 Sheridan at UCSF made same request. ref SDS 8 4Q7Y
061047 -         ..
061048 -        [On 041019 Todd at Stanford made the same request. ref SDS 9
061049 -        BW5J
061051 -  ..
061052 - Michelle said she has not submitted the letter with links to two (2)
061053 - case studies, ref DIP 1 VX91, to doctor Guardino in order to be
061054 - prepared for the meeting on 041019, as requested in the letter on
061055 - 041002, ref SDS 1 K138,
061057 -  ..
061058 - Michelle explained Stanford's practice....
061059 -
061060 -    1.  Patient arrives 30 minutes early and fills out admission
061061 -        forms.
061062 -
061063 -    2.  Meet "interview" doctor at 1330.
061064 -
061065 -        Interview doctor reviews case history based on medical records.
061066 -        At this time, the interview doctor may examine case history,
061067 -        ref DIP 1 VX91, submitted to Stanford Medical Center on 041002.
061068 -        ref SDS 1 K138
061070 -         ..
061071 -    3.  Interview doctor presents case to Doctor Guardino.
061073 -         ..
061074 -    4.  Doctor Guardino meets with patient, based on discussion with
061075 -        interview doctor.
061076 -
061077 -
061078 -
061079 -
061080 -
061081 -
061082 -
061083 -
061084 -
061085 -
061086 -
061087 -
061088 -
061089 -
0611 -
Distribution. . . . See "CONTACTS"