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 28, 2007 01:00 PM Wednesday; Rod Welch

VA meeting to evaluate progress treating infection in left eye.

1...Summary/Objective
2...Eye Left Corneal Rosacia Kerstitis Ulcerated Cornea Improving
3...Dermatology Examination Meeting Scheduled 070312


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CONTACTS 

SUBJECTS
Eye Examination Ulcerated Cornea Roscia Improved Responding to Treat

1103 -
1103 -    ..
1104 - Summary/Objective
1105 -
110501 - Follow up ref SDS 51 0000. ref SDS 50 0000.
110502 -
110503 -
110504 -
110505 -
110507 -  ..
1106 -
1107 -
1108 - Progress
1109 -
110901 - Eye Left Corneal Rosacia Kerstitis Ulcerated Cornea Improving
110902 -
110903 - Follow up ref SDS 51 UF6K, ref SDS 50 UF6K.
110904 -
110905 - Background is reported in the record on 070221. ref SDS 50 UF6K
110906 -
110908 -  ..
1110 -
1111 -
1112 - 1407
1113 -
111301 - Doctor Margulies conducted an examination again today.
111303 -  ..
111304 - The doctor reviewed the record from the meeting on 070226, ref SDS 51
111305 - OY8H, to determine the scope of review today, following the practice
111306 - on 070221. ref SDS 50 5D88
111308 -  ..
111309 - Examination findings...
111310 -
111311 -    1.  Rosacia continuing improvement.
111313 -         ..
111314 -    2.  Left eye shows improvement in ulcerated cornea diagnosed on
111315 -        070221. ref SDS 50 BM62
111317 -         ..
111318 -        Examination was by direct observation, and using equipment to
111319 -        observe eye structure.
111320 -
111322 -  ..
111323 - Doctor Margulies prescribed...
111324 -
111325 -    1.  Continue treatment prescribed on 070221. ref SDS 50 PM52
111326 -
111327 -           [On 070312 doctor changed prescription to Doxycycline
111328 -           Calcium (Vibramycin) Syrup Oral suspension raspberry apple
111329 -           flavored to solve swallowing problem taking medication for
111330 -           rosacia. ref SDS 52 HB9G
111332 -         ..
111333 -    2.  Bacitracin antibiotic eye ointment reduced from 4 to 3 daily
111334 -        treatments initially prescribed on 070221. ref SDS 50 BM5N
111336 -         ..
111337 -        The doctor said this will be easier to implement, and aligns
111338 -        with the new treatment protocol....
111340 -         ..
111341 -    3.  Prednisolone acetate 1% OPH suspension eye steriod take 3 times
111342 -        daily to supplement eye treatment with Bacitracin.
111344 -         ..
111345 -        Shake the bottle well before application.
111347 -         ..
111348 -        Apply eye drops prednisolone acetate 1% OPH suspension about 5
111349 -        minutes before Bacitracin antibiotic ointment is used.
111351 -  ..
111352 - The doctor scheduled another examination on Friday, 070302 1300.
111353 -
111360 -
111362 -  ..
1114 -
1115 -
1116 - 1420
1117 -
111701 - Pharmacy advised the order would be ready in 20 minutes.
111702 -
111704 -  ..
1118 -
1119 -
1120 - 1510
1121 -
112101 - Received new medication ordered by Doctor Margulies. ref SDS 0 P16I
112102 -
112103 - There were a lot of elderly people waiting in line.  I told several
112104 - people in front of me who were having difficulty standing that they
112105 - could sit and I would save a place when their turn came.  So, I stood
112106 - and waited for 2 or 3 patients to get their medication orders.
112108 -  ..
112109 - When the pharmacist brought this order, I said that the doctor's
112110 - instructions for application, per above, ref SDS 0 P16I, and the
112111 - pharamacy instructions for the previous patients were sufficient, so
112112 - it was not necessary to hold up others repeating the same boilerplate.
112113 -
112115 -  ..
1122 -
1123 -
1124 - 2200
1125 -
112501 - Began new treatment prescribed now for 3 times daily. ref SDS 0 FN5M
112502 -
112503 -
112504 -
112505 -
112506 -
1126 -

SUBJECTS
Dermatology Meeting Scheduled 070312 1300 Examination Rosacea Treatm

1603 -
1604 - 2105
160501 -  ..
160502 - Dermatology Examination Meeting Scheduled 070312
160503 -
160504 - Received in the mail today notice of the meeting for dermatology
160505 - examination with Doctor Gallacher, which Doctor Margulies set up on
160506 - 070226. ref SDS 51 C84F
160508 -  ..
160509 - VA has scheduled the meeting for 070312 1300.
160510 -
160511 -
160512 -
160513 -
160514 -
160515 -
160516 -
1606 -