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 16, 2006 06:02 AM Thursday; Rod Welch

Millie notified doctor cellulitus improved, and about cat bite.

1...Summary/Objective
2...Cellulitus Responds to Treatment Notify Cat Bite No Symptoms So Far
3...CA 15-3 Blood Tests Requires Doctor to Renew Standing Order
4...Coumadin Instructions Blood Test Results INR


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CONTACTS 

SUBJECTS
Cat Bite Right Hand Notify Kaiser Physician Coorindate Avoid Infecti

0803 -
0803 -    ..
0804 - Summary/Objective
0805 -
080501 - Follow up ref SDS 23 0000. ref SDS 14 0000.
080502 -
080503 -
080504 -
080505 -
080506 -
080508 -  ..
0806 -
0807 -
0808 - Progress
0809 -
080901 - Cellulitus Responds to Treatment Notify Cat Bite No Symptoms So Far
080902 -
080903 - Follow up ref SDS 23 6T5L.
080904 -
080905 - Millie submitted ref DIT 1 0001 to the primary care physician
080906 - saying...
080907 -
080908 -    1.  A quick note before heading to Kaiser in Martinez for a PE
080909 -        blood draw test, and then to work. ref DIT 1 0001
080911 -         ..
080912 -    2.  Treatment for cellulitus which flared up on Sunday, seems to be
080913 -        effective.  Inflammation and swelling in left arm remain under
080914 -        control.
080916 -  ..
080917 - This refers to problems on left arm, treated on 061112 for recurrence
080918 - of cellulitus. ref SDS 21 0001  The doctor was notified about this
080919 - problem on 061113. ref SDS 22 5K5G
080921 -  ..
080922 - Letter to the doctor continues...
080923 -
080924 -    3.  I had a cat bite on Tuesday night on 061114.  This time there
080925 -        seems to be no reaction - temperature okay and no swelling,
080926 -        ref SDS 23 0001, which previously landed me in the ER on
080927 -        050212.
080929 -         ..
080930 -    4.  I suppose there could be a delayed reaction, as with the fall
080931 -        on 060914, which later may have contributed to cellulitus on
080932 -        061027.  I had some extended bleeding yesterday at work, but
080933 -        eventually got it under control. ref SDS 23 WF4N
080934 -
080935 -           [On 061203 patient relapses with cellulitus in the left arm,
080936 -           which could be delayed reaction to the cat bite a few weeks
080937 -           ago, ref SDS 24 MF9H, very slight temperature; notify
080938 -           primary care physician. ref SDS 24 5X3N
080940 -         ..
080941 -    5.  Just keeping you posted, no need to respond.
080942 -
080944 -  ..
0810 -
0811 -
0812 - 1412
0813 -
081301 - Received ref DRT 1 0001 from primary care physician responding to
081302 - Millie's letter this morning, ref DIT 1 0001, advising about favorable
081303 - response to treatment for cellulitus, ref SDS 0 6T5L, and reporting on
081304 - cat bite, with not adverse complications so far, also, per above.
081305 - ref SDS 0 MD6R
081307 -  ..
081308 - The doctor says...
081309 -
081310 -    1.  [Responding to your letter this morning on November 16, 2006 notifying of cat
081311 -        bite problem, and progress recovering from cellulitus...]
081313 -         ..
081314 -    2.  Great, Thanks for the follow up.
081315 -
081316 -
081317 -
081318 -
081319 -
0814 -

SUBJECTS
CA 15-3 Blood Tests Requires Doctor to Renew Standing Order Confirm

0903 -
0904 - 1523
090501 -  ..
090502 - CA 15-3 Blood Tests Requires Doctor to Renew Standing Order
090503 -
090504 - Millie submitted ref DIT 2 0001 to the doctor saying...
090505 -
090506 -    1.  I was notified by the Lab Technician in Martinez today
090507 -        that continuing tests for CA 15-3 has expired. Would
090508 -        you please reinstate a standing order for CA 15-3. I'm
090509 -        scheduled for a blood draw on November 30 with Chemo on
090510 -        December 1 and I would like to have this test included.
090512 -         ..
090513 -    2.  My appointment with you has been rescheduled. I will
090514 -        see you Friday, December 1 at 10:00 a.m. instead of
090515 -        11:40 a.m.
090516 -
090518 -  ..
0906 -
0907 -
0908 - 1633
0909 -
090901 - Received reply from the doctor saying he is out of the office until
090902 - 061116 which is today.
090904 -  ..
090905 - Maybe the doctor will follow up later today.
090907 -  ..
090908 - The next day, the doctor submitted a letter at 0930 saying...
090909 -
090910 -        Done.
090911 -
090912 -
090913 -
090914 -
0910 -

SUBJECTS
Coumadin Protocol Pulmonary Emboli Treatement Warfarin Instructions

1203 -
1204 - 1547
120501 -  ..
120502 - Coumadin Instructions Blood Test Results INR
120503 -
120504 - Follow up ref SDS 20 X74V.
120505 -
120506 - Millie submitted ref DIT 1 0001 to Gloria at the Coagulation Treatment
120507 - Clinic requesting results of the blood draw this morning, per earlier
120508 - letter to the doctor. ref SDS 0 WH6I
120509 -
120510 -    1.  Thanks very much for your letter on November 1, 2006 submitting
120511 -        results of blood tests, and adjusting instructions on Coumadin
120512 -        treatments for pulmonary emboli. ref SDS 20 X74V
120514 -         ..
120515 -    2.  This morning I was at the Kaiser Martinez clinic for another
120516 -        blood draw.
120518 -         ..
120519 -    3.  Can you please submit results of the test, and any changes to
120520 -        protocol for the period ahead.
120522 -         ..
120523 -    4.  I will be home tomorrow, if you prefer to call (************).
120525 -         ..
120526 -    5.  The CT test on 060930 that diagnosed PE, also, reported
120527 -        findings of enlarged right ventricle [reported on 061012,
120528 -        ref SDS 17 7E5L, I have discussed this with the doctor [shown
120529 -        on 061020, ref SDS 18 VD44], and also wondered if any of your
120530 -        guidance relates to Coumadin or other treatment regimens?
120531 -        Enlarged right ventricle could be unrelated to your work
120532 -        treating PE, however, preliminary research indicates a possible
120533 -        connection, so just wondering if you have any comments.  Thanks
120534 -        again.
120535 -
120536 -
120537 -
120538 -
120539 -
120540 -
120541 -
120542 -
120543 -
120544 -
120545 -
1206 -