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 14, 2007 07:04 AM Wednesday; Rod Welch

Millie asked Kaiser for medication to treat cellulitis on left arm.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Cellulitis IBC Red Rash Upper Left Arm Request Refill Prescription A

1203 -
1203 -    ..
1204 - Summary/Objective
1205 -
120501 - Follow up ref SDS 4 0000, ref SDS 2 0000.
120502 -
120503 -
120504 -
120506 -  ..
1206 -
1207 -
1208 - Progress
1209 -
120901 - Millie submitted ref DIT 1 0001 to the primary care physician at
120902 - Kaiser saying...
120903 -
120904 -    1.  Thanks for the CT test.
120906 -  ..
120907 - The doctor submitted the CT test on 070131, requested in Millie's
120908 - letter on 070208, ref SDS 3 LX5O, and followed up on 070213.
120909 - ref SDS 4 KK8I
120911 -  ..
120912 - This report was eventually received and entered in the record on
120913 - 070202 for context reporting on meeting with the doctor at Kaiser.
120914 - ref SDS 2 1Y8G
120916 -  ..
120917 - Letter to Kaiser continues...
120918 -
120919 -    2.  Strange that Doctor Wu would compare with the only test not
120920 -        listed in the Progress Notes, and would not compare with any
120921 -        recent tests, e.g., on 061227, 060930.  May reflect
120922 -        compartmentalization that hampers communication, and in this
120923 -        case trend analysis.
120925 -  ..
120926 - Review on 070202 shows Kaiser compared CT test on 070131 only with the
120927 - test on 060505. ref SDS 2 0136
120929 -  ..
120930 - Letter to Kaiser continues...
120931 -
120932 -    3.  Can Doctor Wu be asked to expand his comparison with the test
120933 -        on 060505 to address prior findings on paratrachael nodes?
120934 -        Since Doctor Mamtora went to the trouble of writing it up, one
120935 -        would expect the next analyst would say what happened to it.
120936 -        Why mention one thing and not another?
120938 -  ..
120939 - Review on 070202 notes failure to complete comparison with test on
120940 - 060505. ref SDS 2 014H
120942 -  ..
120943 - Letter to Kaiser continues...
120944 -
120945 -    4.  In our meeting on 070202 you seemed to observe indications of
120946 -        cellulitis on my upper left arm. ref SDS 2 6Q5N
120948 -         ..
120949 -    5.  Today, rash on the upper left arm seems still present.  Should
120950 -        this be treated again with Keflex antibiotics prescrbed for
120951 -        relapse on 061204. ref SDS 1 ZS5N
120953 -         ..
120954 -    6.  Please let me know.
120955 -
120956 -            [On 070215 follow up letter to Arlette at Kaiser, when
120957 -            Millie received letter from Kaiser advising that the doctor
120958 -            was out of the office today. ref SDS 5 VW4X
120959 -
120960 -            [On 070215 primary care physician at Kaiser refers matter
120961 -            to UCSF for coordinated care under clinical study.
120962 -            ref SDS 5 HK5O
120964 -             ..
120965 -            [On 070215 Millie notifies UCSF about rash problem and
120966 -            doctor's referral for consideration of treatment.
120967 -            ref SDS 5 LK8H
120969 -             ..
120970 -            [On 070215 UCSF prescribes treatment for cellulitis and
120971 -            coordinates ordering prescription by primary care physician
120972 -            at Kaiser. ref SDS 5 VE3K
120974 -             ..
120975 -            [On 070216 UCSF schedules meeting to examine report new
120976 -            rash on left arm; proactive management may be spread of
120977 -            IBC. ref SDS 6 VE3K
120979 -             ..
120980 -            [On 070218 Millie played tennis; left arm seemed more
120981 -            swollen; she began taking Keflex antibiotic to treat
120982 -            cellulitis. ref SDS 7
120984 -             ..
120985 -            [On 070222 examination at UCSF indicates rash on upper left
120986 -            arm more likely expanding IBC. ref SDS 8 B64F
120987 -
120988 -
120989 -
120990 -
120991 -
120992 -
1210 -