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: April 3, 2006 10:28 AM Monday; Rod Welch

VA Connie called about meeting with primary care physician on 060505.

1...Summary/Objective
2...Meeting Scheduled VA Primary Care Physician 060505
3...Dental Eligibility Review of Va Regulations and Patient History


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SUBJECTS
Dental Eligibility Review of Va Regulations and Patient History May

1003 -
1003 -    ..
1004 - Summary/Objective
1005 -
100501 - Follow up ref SDS 49 0000. ref SDS 47 0000.
100502 -
100503 -
100504 -
100505 -
100507 -  ..
1006 -
1007 -
1008 - Progress
1009 -
100901 - Meeting Scheduled VA Primary Care Physician 060505
100902 -
100903 - Follow up ref SDS 49 P18O, ref SDS 47 P18O.
100904 -
100905 - On 060331 received a letter from the doctor scheduling a meeting on
100906 - 060505, which followed up meeting with Rhonda on 060325 when she
100907 - reviewed documentation from the VA, ref SDS 49 P18O, and then
100908 - scheduled the meeting on 060505.
100910 -  ..
100911 - Connie said this morning that she talked to the doctor and he is not
100912 - aware of any reason to meet again, following up the meeting on 060317.
100913 - ref SDS 43 0001  The doctor recalled scheduling a meeting for an eye
100914 - examination, ref SDS 43 OY6M, and this led to a meeting scheduled on
100915 - 060512, reported on 060320. ref SDS 44 XV5O
100916 -
100917 -          [On 060505 doctor asked about purpose of meeting, ref SDS 50
100918 -          P18O; he found on his computer that he scheduled the meeting
100919 -          to perform an annual physical examination.
100920 -
100922 -  ..
100923 - Dental Eligibility Review of Va Regulations and Patient History
100924 -
100925 - Connie said that the doctor mentioned to her this morning that during
100926 - the meeting on 060317 he recommended patient review elegibility for
100927 - dental treatment in order to avoid compounding digestion problems of
100928 - achalasia. ref SDS 43 YR4J
100930 -  ..
100931 - Connie asked if this has been done?
100933 -  ..
100934 - We reviewed the record on 060317 showing several grounds for
100935 - elegibility, ref SDS 43 M56G, with were discussed with the doctor in
100936 - GI clinic during the procedure at VA Mather AFB on 060330. ref SDS 48
100937 - 447P
100939 -  ..
100940 - Connie said this may be why the doctor wants to meet.  She feels the
100941 - doctor can review elegibility for making a referral without taking the
100942 - time to meet with the patient, since elegibility depends on patient
100943 - history on file with the VA.
100944 -
100945 -    [On 060505 primary care physician reports that referral for
100946 -    dental work was issued on 060406 about three (3) days after
100947 -    receiving from Kim on 060403 the review of VA elegibility
100948 -    requirements in this record. ref SDS 50 2O4J
100950 -     ..
100951 -    [On 060529 follow up letter asks about response time on dental
100952 -    referrals, because meeting has not yet been scheduled. ref SDS 51
100953 -    GM6P
100955 -  ..
100956 - Connie said that she does not have email address for timely, efficient
100957 - communications, and that nobody has been assigned yet to replace Kim
100958 - for facilitating communications with the primary care physician using
100959 - precision access that saves time and increases accuracy to avoid
100960 - mistakes, reported in the record on 060314. ref SDS 41 2M7I
100962 -  ..
100963 - Connie feels Kim may be able to forward a letter to the doctor in this
100964 - case to clear up confusion in the record, and transmit research on
100965 - making a referral for dental support.
100966 -
100967 -           [On 060505 the GI clinic doctor received the letter is
100968 -           planning follow up. ref SDS 50 KU5I
100970 -  ..
100971 - Submitted ref DIT 1 0001 to Kim saying...
100972 -
100973 -    1.  I got a call from Connie this morning in the PC department.
100974 -        She suggested you might be able to coordinate between [the
100975 -        primary care physician] and [the doctor in the GI clinic],
100976 -        ref DIT 1 0001, on a referral for dental work. ref SDS 0 Y157
100978 -         ..
100979 -    2.  I spoke with [the doctor in the GI clinic] about this on
100980 -        060330, ref DIT 1 HN6I, when he performed a test at VA Mather
100981 -        AFB. ref SDS 48 447P
100983 -         ..
100984 -    3.  Earlier on 060317 [primary care physician] made an examination
100985 -        and requested research on eligibility in order to make a
100986 -        referral. ref SDS 43 YR4J  Here is the research showing links
100987 -        to VA regulations and findings by the doctor.  If convenient,
100988 -        can you transmit to [the primary care physician]. ref SDS 43
100989 -        M56G
100991 -         ..
100992 -    4.  Connie said she does not have email for sending anything to the
100993 -        doctor, but felt you might be able to save time coming in and
100994 -        having a meeting. ref DIT 1 QO7H  They still haven't found a
100995 -        replacement for you in PC.  So, can you please forward this to
100996 -        [the primary care physician] that requires coordination with
100997 -        [the doctor in the GI clinic].  It would be a big help.
100998 -
100999 -           [On 060505 primary care physician reports that referral for
101000 -           dental work was issued on 060406 about three (3) days after
101001 -           receiving from Kim on 060403 the review of VA elegibility
101002 -           requirements in this record. ref SDS 50 2O4J
101004 -            ..
101005 -           [On 060529 follow up letter asks about response time on
101006 -           dental referrals, because meeting has not yet been
101007 -           scheduled. ref SDS 51 GM6P
101008 -
101009 -
101010 -
101011 -
101012 -
101013 -
101014 -
101015 -
101016 -
101017 -
101018 -
1011 -