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: March 2, 2007 01:00 PM Friday;
Rod Welch
VA meeting to evaluate progress treating infection in left eye.
1...Summary/Objective
2...Eye Left Corneal Rosacia Kerstitis Ulcerated Cornea Improving
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CONTACTS
SUBJECTS
Eye Examination Ulcerated Cornea Roscia Improved Responding to Treat
1203 -
1203 - ..
1204 - Summary/Objective
1205 -
120501 - Follow up ref SDS 54 0000. ref SDS 53 0000.
120502 -
120503 -
120504 -
120505 -
120506 -
120508 - ..
1206 -
1207 -
1208 - Progress
1209 -
120901 - Eye Left Corneal Rosacia Kerstitis Ulcerated Cornea Improving
120902 -
120903 - Follow up ref SDS 54 UF6K, ref SDS 53 UF6K.
120904 -
120905 - Background is reported in the record on 070221. ref SDS 52 UF6K
120906 -
120907 - Doctor Margulies conducted an examination.
120909 - ..
120910 - The doctor reviewed the record from the meeting on 070228, ref SDS 54
120911 - 4Z7O, to determine the scope of review today, following the practice
120912 - on 070221. ref SDS 52 5D88
120914 - ..
120915 - Examination occurred initially in the waiting room, when the doctor
120916 - was showing another doctor through the Eye clinic, perhaps a new
120917 - member of the staff. She commented that rosacea seems reduced on the
120918 - face. She pulled the lower lid down, and commented after observation
120919 - there is improvement. This was repeated half an hour later in the
120920 - examination room. The doctor also used equipment to examin the eye
120921 - closely. There was no vision test today.
120923 - ..
120924 - Examination findings...
120925 -
120926 - 1. Rosacia continuing improvement with treatment prescribed on
120927 - 070221, ref SDS 52 PM52, and renewed on 070226. ref SDS 53 HG8J
120929 - ..
120930 - 2. Left eye shows further improvement in ulcerated cornea
120931 - diagnosed on 070221. ref SDS 52 BM62
120933 - ..
120934 - The doctor feels the eye is near normal, and the ulceration is
120935 - nearly healed.
120937 - ..
120938 - Doctor Margulies prescribed...
120939 -
120940 - 1. Rosacia medication treatment prescribed on 070221 continued.
120941 - ref SDS 52 PM52
120942 -
120943 - [On 070312 doctor changed prescription to Doxycycline
120944 - Calcium (Vibramycin) Syrup Oral suspension raspberry apple
120945 - flavored to solve swallowing problem taking medication for
120946 - rosacia. ref SDS 55 HB9G
120948 - ..
120949 - 2. Bacitracin antibiotic eye ointment continue 3 daily treatments
120950 - prescribed on 070228, ref SDS 54 3X6N, and changed from initial
120951 - 4 daily treatments prescribed on 070221, ref SDS 52 BM5N,
120953 - ..
120954 - The doctor initially said during the meeting today that she
120955 - prescribed Bacitracin antibiotic eye ointment 4 times per day.
120956 - She said that she wrote down 4 times per day in the Medical
120957 - Chart Progress Notes for 070228. She recalled today on
120958 - reminder from the patient that this was a mistake, simply by
120959 - hitting the 4 key instead of the 3 key on her computer, and
120960 - because she wanted to enter 3, the minds eye saw "3," similar
120961 - to mistakes in email, reported on 030415. ref SDS 12 PY4W
120963 - ..
120964 - 3. Prednisolone acetate 1% OPH suspension steriod continue 3 times
120965 - daily to supplement eye treatment with Bacitracin, prescribed
120966 - on 070228. ref SDS 54 P16I
120968 - ..
120969 - The doctor scheduled another examination on Friday, 070312 1200, and
120970 - in order to coordinate with examination on 070312 1300 with Doctor
120971 - Galacher in Dermatology, which was scheduled on 070228, ref SDS 54
120972 - 4U4H, following referral by Doctor Margulies on 070226. ref SDS 53
120973 - C84F
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1210 -