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: August 18, 2005 02:52 PM Thursday; Rod Welch

VA prescribes antibiotics for elevated WBC; orders more blood tests.

1...Summary/Objective
2...Amoxicillin Antibiotics Prescribed Elevated WBC Treat for Infection
3...Ultrasound Test Schedule, and Instructions to Prepare for Examination


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CONTACTS 

SUBJECTS
Antibiotics Amoxicillin Prescribed to Treat Possible Infection Based
Blood Test Shows No Obvious Problem WBC High Another Blood Test Orde

0604 -
0604 -    ..
0605 - Summary/Objective
0606 -
060601 - Follow up ref SDS 18 0000, ref SDS 16 0000.
060602 -
060603 - Kim called and advised that the doctor has prescribed antibiotics to
060604 - treat for possible infection based on elevated WBC. ref SDS 0 DG8G  In
060605 - the afternoon, received notice scheduling ultrasound test. ref SDS 0
060606 - BM6R
060607 -
060608 -     [On 050819 picked up prescription at VA. ref SDS 19 DG8G
060609 -
060610 -
060611 -
060612 -
060614 -  ..
0607 -
0608 -
0609 - Progress
0610 -
061001 - Amoxicillin Antibiotics Prescribed Elevated WBC Treat for Infection
061002 -
061003 - Kim called for the doctor, following up the meeting at the VA on
061004 - 050816 diagnosing possible Aclasia, but too early to be certain.
061005 - ref SDS 18 DG8G
061007 -  ..
061008 - Evidently, the blood test ordered on 050816 showed WBC still elevated,
061009 - cited prevsiously at that time. ref SDS 18 G540
061011 -  ..
061012 - The doctor has prescribed antibiotics to treat infection that may
061013 - account for high WBC.  There could be lingering infection from the
061014 - problem with the salivary duct stone that JJ treated on 050806.
061015 - ref SDS 17 6G3H  Another possibility is something related to the
061016 - digestion issue that is being investigated, per the meeting on 050816.
061017 - ref SDS 18 DG8G  There could also be elevated WBC reacting to recover
061018 - from the recent dermatology procedure on the neck, that Doctor
061019 - Gallacher performed on 050729. ref SDS 17 0001
061020 -
061021 -     [On 050819 picked up prescription at VA. ref SDS 19 DG8G
061023 -  ..
061024 - The prescription can be picked up at the VA tomorrow.
061026 -  ..
061027 - Kim gave the name of this medication -
061028 -
061029 -                      amoxicillin - 500 mg
061031 -  ..
061032 - Take one capsule 3 times per day.  Sounds like something Millie has
061033 - taken.
061035 -  ..
061036 - Symptoms of infection that align with high WBC might be tiredness that
061037 - has occurred lately, especially since the problem with the salivary
061038 - duct stone about 2 weeks ago.  This afternoon my eyes were tired, very
061039 - difficult too work.  Actually dosed off about 1445; Kim's call woke me
061040 - up.  Went to sleep early, unable to work normal ours past midnight,
061041 - etc.  This is very unusual; so, possibly there is an infection of some
061042 - kind to address.
061044 -  ..
061045 - The doctor wants another blood test OA 050901 to evaluate treatment
061046 - with antibiotics, following up the blood test on 050816, ref SDS 18
061047 - G544,
061049 -  ..
061050 - Anytime after 050901 the blood test can be performed.
061052 -  ..
061053 - Scheduled a visit to the VA for 050902 on Friday.
061054 -
061055 -     [On 050906 went to the VA and blood was drawn for the follow up
061056 -     test. ref SDS 21 DG8G
061058 -  ..
061059 - Submitted email with link to this record confirming understandings.
061060 -
061061 -
061062 -
061063 -
0611 -

SUBJECTS
Ultrasound Test Ordered for Image Testing of Stomache Disgestion Gas

0803 -
0804 - 1545
080501 -  ..
080502 - Ultrasound Test Schedule, and Instructions to Prepare for Examination
080503 -
080504 - Follow up ref SDS 18 6E7H.
080505 -
080506 - Received a letter from the VA dated 050816 which sets the date and
080507 - time for the ultrasound test procedure...
080509 -         ..
080510 -        050830 0130
080511 -
080512 -            [On 050830 ultrasound sonograph test performed at VA in
080513 -            Martinez. ref SDS 20 DG8G
080514 -
080515 -            [On 050912 GI clinic referral scheduled for 051115 1530 and
080516 -            no instructions for patient to be prepared. ref SDS 22 0001
080518 -  ..
080519 - Instructions for Ultrasound Examination
080520 -
080521 -    Report to Reception A
080522 -    Diagnostic Radiology Service (xray)
080523 -
080524 -    Abdominal Renal ultrasound
080526 -     ..
080527 -    Morning meeting...
080528 -
080529 -        Nothing by mouth except water after midnight before the
080530 -        date of the examination.
080532 -     ..
080533 -    If you are currently taking medicaiton under Doctors orders please
080534 -    continue.  Please feel free to contact us if you have any
080535 -    questions.
080537 -           ..
080538 -       •  The ultrasound technologist will instruct and assist you
080539 -          during the exam.
080541 -           ..
080542 -       •  After the examination has been completed and reviewed by the
080543 -          radiologist, a report will be sent via computer to your
080544 -          physician.  If you are going to your physician after the
080545 -          exam, please inform the sonographyer.  The radiology
080546 -          department will not release this information to the patient.
080548 -     ..
080549 -    If your are unable to make this appointment, please notify us as
080550 -    soon as possible so we can reschedule your examination.  Thank you
080551 -    for helping us serve better!
080553 -     ..
080554 -    Diagnostic Radiology Service
080555 -    925 372 2000 ext 5644 or 5790
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