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 16, 2007 10:18 PM Friday; Rod Welch

UCSF schedules meeting to examin new rash Millie's left arm.

1...Summary/Objective
2...UCSF Schedules Examination New Rash Left Arm for IBC Cellulitis
........Emergency Care Coordination UCSF Kaiser


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CONTACTS 

SUBJECTS
Examination Scheduled New Rash Left Arm IBC Cellulitis UCSF Proactiv

1503 -
1503 -    ..
1504 - Summary/Objective
1505 -
150501 - Follow up ref SDS 14 0000, ref SDS 12 0000.
150502 -
150503 -
150504 -
150505 -
150506 -
150507 -
150509 -  ..
1506 -
1507 -
1508 - Progress
1509 -
150901 - UCSF Schedules Examination New Rash Left Arm for IBC Cellulitis
150902 -
150903 - Follow up ref SDS 14 VE3K, ref SDS 14 LK8H.
150904 -
150905 - Yesterday, Millie submitted a letter, ref DIP 5 0001, confirming
150906 - understandings that UCSF approved refill on prescription for Keflex to
150907 - treat possible cellulitis, ref SDS 14 TU5N, following report by
150908 - primary care physician on 070202 seeing new rash on Millie's upper
150909 - left arm. ref SDS 9 JP6F
150911 -  ..
150912 - Millie received ref DRT 1 0001 from Jackie responding to her letter
150913 - yesterday. ref DIP 5 0001
150915 -  ..
150916 - Jackie says...
150917 -
150918 -    1.  Hope you are having a great trip to LA. ref DRT 1 0001
150919 -
150920 -    2.  Brigid would like to see you on Thursday, Feb 22 at 8:30 to
150921 -        follow-up on the status of your cellulitis. ref DRT 1 UL5N
150923 -         ..
150924 -    3.  Please confirm that you will able to make it. ref DRT 1 9M6H
150926 -  ..
150927 - UCSF proactive management scheduling meeting to examine report of new
150928 - rash aligns with review on 070202 that IBC may be spreading to left
150929 - arm, along with recent progression to stomach, back, and right breast.
150930 - ref SDS 9 6H6L
150931 -
150932 -
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150936 -
1510 -

SUBJECTS
Emergency Room Care Coordination UCSF Kaiser Patient Notified Call U

2903 -
290401 -         ..
290402 -        Emergency Care Coordination UCSF Kaiser
290403 -
290404 -        Follow up ref SDS 14 VW6U, ref SDS 9 RM4G.
290405 -
290406 -    4.  Also, please call the clinic if you develop a fever, or if your
290407 -        rash gets worse. (415-353-7070). ref DRT 1 DQ6K
290409 -  ..
290410 - Jackie added this comment a minute later in another letter, appending
290411 - to her 1st letter today.
290413 -  ..
290414 - Jackie's letter today, confirms understandings during the meeting at
290415 - UCSF on 070201, when Jackie asked the patient to call a number at UCSF
290416 - for emergencies, rather than go to Kaiser. ref SDS 8 407N
290417 -
290418 -            [On 070217 Millie requests clarification of coordination
290419 -            planning on emergency treatment; notes that patient history
290420 -            shows treatment at Kaiser Emergency does not require
290421 -            calling a number, just show up, ref SDS 15 AM4N; notes that
290422 -            driving to San Francisco for emergency treatment at UCSF
290423 -            might enocunter fatal traffic delays. ref SDS 15 4Q8O
290425 -  ..
290426 - On 041202 Kaiser standing instructions are to take patient to
290427 - Emergency Room when temperature reaches 100.5. ref SDS 1 IX9N  This
290428 - occurred again on 050212, ref SDS 2 5V8J, and again on 060607,
290429 - ref SDS 3 PR5R, and most recently on 061027 Kaiser treated Millie
290430 - with temperature of 102.5. ref SDS 4 EX4P
290431 -
290432 -            [On 070218 letter to Kaiser illustrates confusion about
290433 -            handling coordination between Kaiser and UCSF with respect
290434 -            to mediciation prescriptions and emergencies. ref SDS 14
290435 -            VW6U
290437 -  ..
290438 - On 070201 UCSF protocol in Nurses Notes for Infusion Clinic say to
290439 - call the doctor when temperature exceeds 101. ref SDS 8 DN4F
290440 -
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2905 -