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: November 13, 2006 07:43 AM Monday; Rod Welch

Millie notified primary care physician of cellulitus relapse.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Cellulitus Relapse Left Arm Swollen Warm to Touch Inflammation Begin

0903 -
0903 -    ..
0904 - Summary/Objective
0905 -
090501 - Follow up ref SDS 16 0000. ref SDS 14 0000.
090502 -
090503 -
090504 -
090506 -  ..
0906 -
0907 -
0908 - Progress
0909 -
090901 - Cellulitus in left seems to have further subsided.  There is only very
090902 - faint coloration on the upper left arm.  Swelling seems about normal
090903 - for lymphedema, and Millie has no temperature.
090905 -  ..
090906 - Millie submitted ref DIT 1 0001 to the doctor notifying of cellulitus
090907 - recurrence, as recommended by Doctor Serier yesterday on 061112.
090908 - ref SDS 16 1247
090909 -
090910 -    1.  Thanks very much for the report on meeting last Friday.
090911 -        ref DIT 1 0001
090913 -         ..
090914 -    2.  Yesterday, cellulitus seemed to relapse on my left arm.  I ran
090915 -        out of the antibiotic pills, so called Kaiser.  Doctor Seier in
090916 -        Adult Medicine made an exigent examination and ordered the same
090917 -        treatment to continue another 10 days, ref DIT 1 L05L, as
090918 -        further reported in my record of patient history. ref SDS 16
090919 -        0001
090921 -         ..
090922 -    3.  Inflammation has receded, and I have no temperature.  I am home
090923 -        today and can come in for examination, if needed.  Just let me
090924 -        know - 925 680 8947.  I don't feel well, but that is normal for
090925 -        the 3rd day after chemo. ref DIT 1 616L
090927 -  ..
090928 - This performs action item presented by Doctor Seier on 061112
090929 - recommending that the primary care physician make an examination.
090930 - ref SDS 16 1247
090931 -
090932 -            [On 061116 Millie follow up letter notified doctor of
090933 -            favorable response to treatment, cellulitus seems under
090934 -            control. ref SDS 17 SE9L
090936 -  ..
090937 - Letter to the doctor continues...
090938 -
090939 -    4.  Your research was helpful on my son's coagulapathy report.  I
090940 -        remain concerned that symptoms of cough, throat clearing,
090941 -        shortness of breath, and chronic fatigue are moderate to
090942 -        severe. ref DIT 1 L17H  Hoping procrit will bring improvement,
090943 -        as you discussed on Friday. ref SDS 15 OY4H
090944 -
090945 -
090946 -
090948 -  ..
0910 -
0911 -
0912 - 1217
0913 -
091301 - Received ref DRT 1 0001 from primary care physician responding to
091302 - Millie's letter, ref DIP 1 0001, submitted this morning, per above.
091303 - ref SDS 0 MF9H
091305 -  ..
091306 - The doctor says...
091307 -
091308 -    1.  [Responding to your letter this morning reporting cellulitus
091309 -        relapse, ref SDS 0 2K3T, and exigent examination at Kaiser
091310 -        yesterday prescribing extending treatment with previously
091311 -        approved antibiotics, and asking if further examination is
091312 -        needed by primary care physician, as called out by Doctor
091313 -        Seier in Adult Medicine.  Based on your report today that
091314 -        cellulitus is responding to treatment, ref SDS 0 2K4T, ...]
091316 -         ..
091317 -    2.  As long as your arm is improving, no need to come in at this
091318 -        time. ref DRT 1 RN6F
091320 -  ..
091321 - This closes action item presented by Doctor Seier on 061112.
091322 - ref SDS 16 1247
091323 -
091324 -            [On 061116 notify doctor cellulitus responding to
091325 -            treatment, new problem cat bite, no current symptoms,
091326 -            monitoring for delayed reaction that causes recurrence
091327 -            cellulitus. ref SDS 17 SE9L
091328 -
091329 -
091330 -
091331 -
091332 -
091333 -
091334 -
091335 -
091336 -
091337 -
091338 -
091339 -
091340 -
091341 -
0914 -