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: June 14, 2006 09:37 AM Wednesday; Rod Welch

VA meeting on progress scheduling pending issues.

1...Summary/Objective
2...Manometry Test Expedite Report and Schedule Treatment for Achalasia
3...Dental Referral for Service Related Follow Up


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CONTACTS 

SUBJECTS
Manometry Test Expedite Report and Schedule Treatment Achalasia Meet
Achalasia Treatment Schedule Report on Manometry Test 060330 Planned

0704 -
0704 -    ..
0705 - Summary/Objective
0706 -
070601 - Follow up ref SDS 20 0000. ref SDS 19 0000.
070602 -
070603 - Work in the GI clinic has increased, causing delays based on priority
070604 - to Gulf War ops. ref SDS 0 J940  Renato will follow up with Rubin next
070605 - week to expedite response to the letter on 060529 asking about the
070606 - report on the manometry test and scheduling treatment for achalasia,
070607 - ref SDS 0 J949, and on scheduling the dental work on referral by the
070608 - primary care physician. ref SDS 0 YR4J  Renato indicated that Kim's
070609 - email to Rubin helps expedite coordination and follow up. ref SDS 0
070610 - ZC6K
070611 -
070612 -
070613 -
070615 -  ..
0707 -
0708 -
0709 - Progress
0710 -
071001 - Manometry Test Expedite Report and Schedule Treatment for Achalasia
071002 -
071003 - Follow up ref SDS 20 FT6M, ref SDS 19 FT6M.
071004 -
071005 - Visited the VA in Martinez this morning to see Rubin Soto following up
071006 - Kim's letter ref DRP 1 0001, dated 060601, which responded to the
071007 - letter, ref DIP 2 0001, submitted on 060529, ref SDS 19 FT6M, for the
071008 - doctor in GI clinic, and the primary care physician, following up the
071009 - meeting on 060505. ref SDS 18 YR4J
071011 -  ..
071012 - Kim indicated on 060601 that the letter on 060529 was forwarded to
071013 - Rubin Soto for follow up by the patient advocate department.
071014 - ref SDS 20 YR4J
071016 -  ..
071017 - The attendant at the counter for the Business and Clinical Support
071018 - Services department advised that Rubin is out of the office until
071019 - 060619.  Asked if Rubin has an assistant or supervisor who can discuss
071020 - patient services?  The attendant suggested talking to Renato
071021 - Mangosong, the Department supervisor.
071023 -  ..
071024 - Renato checked the computer and saw patient history on pending
071025 - treatment for achalasia, shown in the record on 060601 receiving Kim's
071026 - letter. ref SDS 19 FT6M
071028 -  ..
071029 - Renato advised that the GI clinic has experienced increased work load,
071030 - which is prioritized for treating Gulf War service related matters.
071031 - Everyone is working hard, but scheduling gets stretched out.
071032 -
071033 -            [On 070220 letter to VA asks about progress getting test
071034 -            results from VA in Sacramento, and scheduling surgery
071035 -            for achalasia. ref SDS 21 5R5R
071037 -             ..
071038 -            [On 090812 1030 after suffering severe weight loss of 30
071039 -            pounds in a few months, primary care physician notified GI
071040 -            clinic to review schedule for performing surgery to relieve
071041 -            achalasia. ref SDS 23 P58H
071043 -  ..
071044 - In this case, there is no rush nor express priority.  The objective is
071045 - to maintain continuity in the record for orderly performance of the
071046 - work.
071048 -  ..
071049 - Renato will discuss this with Rubin when he returns on Monday, 060616,
071050 - and ask Rubin to coordinate with Doctor Lee on notifying the customer
071051 - with an estimated date to submit the report for the manometry test
071052 - performed on 060330, ref SDS 15 MD4N, and, also, submit a schedule for
071053 - treatment based on current priorities.
071055 -  ..
071056 - Renato initially took some handwritten notes.  After checking the
071057 - computer, he commented that the email from Kim on 060601 with links
071058 - into patient history, ref SDS 20 FT6M, will assist Rubin in following
071059 - up, per review of dental referral below. ref SDS 0 ON8M
071061 -  ..
071062 - Renato commented that the doctor/patient partnership preparing
071063 - thorough records helps the VA perform case management.
071064 -
071065 -
071066 -
071067 -
071068 -
0711 -

SUBJECTS
Dental Examination Schedule on Referral 060406 by Primary Care Physi

1503 -
150401 -  ..
150402 - Dental Referral for Service Related Follow Up
150403 -
150404 - Follow up ref SDS 20 YR4J, ref SDS 19 YR4J.
150405 -
150406 - Renato checked the computer and found the referral for dental work
150407 - entered on 060406, reported during the meeting on 060505. ref SDS 18
150408 - NX5F
150410 -  ..
150411 - Renato indicated that when Rubin returns to the office next Monday,
150412 - 060616, he will ask Rubin to follow up getting response to the
150413 - referral by scheduling a date for performing dental work.
150415 -  ..
150416 - Renato seemed to indicate that he sees an email to Rubin in the
150417 - computer which was submitted by Kim on 060601, ref SDS 20 YR4J,
150418 - transmitting the patient's letter dated 060529. ref SDS 19 YR4J  He
150419 - will ask Rubin to respond to the patient letter dated 060529.
150421 -  ..
150422 - Renato seemed further to indicate that Rubin has a "strong voice" for
150423 - following up.
150424 -
150425 -        [On 090220 1526 VA did not have time to schedule care, so work
150426 -        was performed by a local vendor. ref SDS 22 CX8I
150427 -
150428 -
150429 -
150430 -
150431 -
150432 -
150433 -
150434 -
150435 -
150436 -
150437 -
1505 -