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: April 26, 2007 06:33 PM Thursday; Rod Welch

Millie received guidance from Kaiser on Coumadin for pulmonary embolism.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Pulmonary Embolism Blood Clots Lungs Blood Test UCSF 070426 INR 2.7

0703 -
0703 -    ..
0704 - Summary/Objective
0705 -
070501 - Follow up ref SDS 3 SE6N, ref SDS 2 FE9I.
070502 -
070503 -
070504 -
070506 -  ..
0706 -
0707 -
0708 - Progress
0709 -
070901 - This afternoon, after returning from treatment for IBC at UCSF in San
070902 - Francisco, Millie called the Kaiser Coagulation Control Clinic in
070903 - Martinez, CA.  Millie left a message for Gloria reporting results of
070904 - the blood test today at UCSF, ref SDS 3 SE6N  Kaiser uses blood tests
070905 - for INR to determine levels of Coumadin to prescribe for treating
070906 - pulmonary embolism, also, discussed during the examination with the
070907 - medical team this morning at UCSF. ref SDS 2 FE9I
070909 -  ..
070910 - On 070307 Gloria explained during a telephone call that getting
070911 - written records through email from the patient for accurate, uniform
070912 - reporting to coordinate test results from UCSF for work at Kaiser
070913 - takes a lot of time, and that conversation with the telephone is
070914 - faster and easier. ref SDS 1 UA3L
070916 -  ..
070917 - Millie received ref DRT 1 0001 from Gloria responding to Millie's
070918 - telephone message per above, and saying...
070919 -
070920 -    1.  Your reported INR Result: INR  2.7  04/26/2007 (from UCSF)
070922 -         ..
070923 -    2.  Your Target range: INR Low Range: 2  - INR High Range: 3
070925 -         ..
070926 -    3.  Thank you for taking your protime blood test.  This is the best
070927 -        way to know that your Warfarin (generic for Coumadin) dose is
070928 -        safe and working well for you.
070930 -         ..
070931 -    4.  ** CONTINUE SAME DOSE  and get regular protime blood tests **
070932 -        Warfarin Dosing Instructions: Using Warfarin 4MG Tablet (BLUE
070933 -        in color):  Take 6MG (1 & 1/2 tabs) every Thursday; take 4MG (
070934 -        1 tab) all other days of the week.
070935 -
070936 -            Sunday (mg): 4 MG
070937 -            Monday (mg): 4 MG
070938 -            Tuesday (mg): 4 MG
070939 -            Wednesday (mg): 4 MG
070940 -            Thursday (mg): 6 MG
070941 -            Friday (mg): 4 MG
070942 -            Saturday (mg): 4 MG
070944 -         ..
070945 -    5.  Please have your next protime blood test on: Follow up date:
070946 -        5/24/07
070948 -         ..
070949 -    6.  If possible, do not have your INR labs done on Fridays or
070950 -        weekends.  For same day results, go to the lab before 11am.
070952 -         ..
070953 -    7.  Please contact us at (925) 372-1628 or Fax (925) 372-1229.
070954 -
070955 -             •  If your warfarin dose is different than what is written on this letter.
070956 -             •  If you do not receive a call or a letter in 4 or 5 days after your lab work.
070957 -             •  If you have any unusual bruises or bleeding.
070958 -             •  If there are changes in your medications, vitamin k intake in your diet, vitamins, herbal products, or alcohol use.
070959 -             •  If you become ill or have decreased appetite, diarrhea, vomiting.
070960 -             •  Also call us if you are planning to have  surgical or dental procedure.
070961 -
070962 -
070963 -
070964 -
070965 -
0710 -