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: February 21, 2006 08:00 AM Tuesday; Rod Welch

Manometry test delayed indefinitely pending equipment repair.

1...Summary/Objective
2...Test Schedule Changed to 060223 Pending Equipment Repairs
3...Email Months Unread Communication Cannot Find Anything
4...Communication Fails Reverts to Verbal Rembering the Gist of the Story
5...Verbal Communication Meetings Calls Expedite Cannot Remember Anything


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CONTACTS 

SUBJECTS
Manometry Test for Achalasia Treatment VA Mather AFB Delayed Again D

2003 -
2003 -    ..
2004 - Summary/Objective
2005 -
200501 - Follow up ref SDS 44 0000. ref SDS 42 0000.
200502 -
200503 - VA at Mather AFB advised that manometry equipment is not available for
200504 - doing the test scheduled for Thursday, 060223.  The test is
200505 - indefinitely delayed pending resolution of equipment problems.
200506 - ref SDS 0 NT7P  Notified the doctor that testing is delayed,
200507 - ref SDS 0 7U8H, and asking about doing the test somewhere else, or
200508 - with different equiipment.  Also ask about performing esophageal
200509 - dilation procedure to clear achalasia without further testing.
200510 - ref SDS 0 4V5G
200511 -
200512 -     [On 060316 received notice that manometry test scheduled on
200513 -     060321. ref SDS 46 5K5F
200515 -      ..
200516 -     [On 060317 Vi called and changed the meeting to 060330 0800.
200517 -     ref SDS 47 QG7M
200519 -      ..
200520 -     [On 060330 doctor performed manometry test and advised that
200521 -     treatment for achalasia can now go forward. ref SDS 48 MD4N
200522 -
200523 -
200524 -
200525 -
200527 -  ..
2006 -
2007 -
2008 - Progress
2009 -
200901 - Test Schedule Changed to 060223 Pending Equipment Repairs
200902 -
200903 - Follow up ref SDS 44 5K5F.
200904 -
200905 - Talked to Jimmy this morning.  He was off work yesterday for a
200906 - holiday, and has experienced problems with communications, per below.
200907 - ref SDS 0 NT6J
200909 -  ..
200910 - Jimmy advised that the manometry equipment, which has had continuing
200911 - problems, reported on 060209, ref SDS 44 4W7F, is still not repaired.
200912 - They had to ship the equipment to the manufacturer, but at this time
200913 - there is no date scheduled on placing manometry equipment back in
200914 - service for patient tests.  Jimmy said that Vi was planning to call
200915 - later today and advise that the test scheduled for Thursday, 060223,
200916 - has been indefinetly delayed.  Jimmy will let Vi know that this action
200917 - item has been performed, so that she is saved a call.
200919 -  ..
200920 - Ask about performing balloon dilation procedure, per planning on
200921 - 060209. ref SDS 44 NJ5L
201345 -
201346 -
201347 -
201348 -
2014 -

SUBJECTS
Email Unread Months Behind Communication Fails Cannot Find Anything

3503 -
350401 -  ..
350402 - Email Months Unread Communication Cannot Find Anything
350403 - Communication Fails Reverts to Verbal Rembering the Gist of the Story
350404 - Verbal Communication Meetings Calls Expedite Cannot Remember Anything
350405 -
350406 - Follow up ref SDS 21 RP54.
350407 -
350408 - During the call this moring, per above, ref SDS 0 5K5F, Jimmy said
350409 - that his email directory is full.  He has not had time to delete
350410 - anything.
350412 -  ..
350413 - Jimmy has not seen the letter on 060209, ref DIP 5 0001, confirming
350414 - understandings from the meeting that day. ref SDS 44 0001  While we
350415 - talked he looked through his email, but could not find the letter for
350416 - 060209. ref SDS 44 4W44  Jimmy indicated that the email system doesn't
350417 - work very well, because it is hard to delete documents.
350419 -  ..
350420 - Previously, on 010911 Tom Munnecke reported on work in the 1980s
350421 - developing an email system for the VA. ref SDS 7 T217
350423 -  ..
350424 - Jimmy said he likes to work by conversation, because it seems faster
350425 - and easier.  This aligns with Gary's report on 050722 that email is
350426 - not effective nor efficient for communication in big organizations.
350427 - ref SDS 21 RP54
350428 -
350429 -     On 020504 study shows professional standards for communication
350430 -     practices and requirements on good management specified in FAR,
350431 -     ISO, Health Care, Covey, Drucker, law, contract notice provisions,
350432 -     and 2,000 years of literacy for contemporaneous documentation of
350433 -     alignment and feedback to work intelligently, quickly, and
350434 -     accurately are ignored in government, business, health care, every
350435 -     sector. ref SDS 6 NS6F
350436 -
350437 -
350438 -
350439 -
350440 -
350441 -
350442 -
350443 -
350444 -
3505 -