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: December 10, 2007 09:37 AM Monday; Rod Welch

VA medical photograph to evaluate surgery issue.

1...Summary/Objective
2...Photograph Nose Pre-surgery Review Data for VA Sacramento


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CONTACTS 

SUBJECTS
Dermatology Examination Nose Photograph Cancer Schedule Evaluate Sur

1603 -
1603 -    ..
1604 - Summary/Objective
1605 -
160501 - Follow up ref SDS 59 0000. ref SDS 58 0000.
160502 -
160503 -
160504 -
160506 -  ..
1606 -
1607 -
1608 - Progress
1609 -
160901 - Photograph Nose Pre-surgery Review Data for VA Sacramento
160902 -
160903 - Follow up ref SDS 59 HS6G, ref SDS 58 HS6G.
160904 -
160905 - Visited Dermatology on 2nd floor at VA in Martinez, CA.
160907 -  ..
160908 - Explained background to the attandant, and submitted the record of
160909 - Lisa's call from VA in Sacramento on 071207. ref SDS 59 HS6G  The
160910 - attendant said there is nothing in the computer on this.  He contacted
160911 - Doctor Mesgar's assistant.
160913 -  ..
160914 - The doctor's assistant, a nurse, came into the reception area and said
160915 - she received a communication from Sacramento, but did not understand
160916 - what is required.
160918 -  ..
160919 - The assistant read the record of Lisa's call on 071207. ref SDS 59
160920 - HS6G  She contacted Doctor Mesgar who, also, read through the record,
160921 - and approved the photograph procedure.  There was no explanation why
160922 - the VA's record was unclear about requirements for a photograph, which
160923 - Lisa planned to enter during the call on 071207. ref SDS 59 313L
160925 -  ..
160926 - The assistant took several photographs with the patient holding an
160927 - identification slip to associate pictures the patient.  She plans to
160928 - post this data to the patient's medical chart, so that Lisa can
160929 - access at the VA in Sacramento.
160930 -
160931 -     [On 071211 notified Lisa in Sacramento of photographs taken.
160932 -     ref SDS 60 HS6G
160934 -  ..
160935 - Doctor Mesgar noticed that the scab from the biopsy has substantially
160936 - healed.  Treatment for rosacia seems to have reduced the size of the
160937 - nose blemish, though this would seem conflicting with biopsy findings
160938 - of cancer on 071205. ref SDS 58 0B83
160939 -
160940 -     [On 071211 notified Lisa in Sacramento of evident improvement in
160941 -     nose blemish with treatment for rosacia; seems conflicting with
160942 -     biopsy findings of cancer. ref SDS 60 MV8X
160944 -      ..
160945 -     [On 071223 received letter from VA dated 071214 scheduling
160946 -     surgery on 080227 0830. ref SDS 61 HS6G
160948 -      ..
160949 -     [On 080227 0830 surgry to remove minor cancer on nose
160950 -     performed at VA in Sacramento. ref SDS 62 PQ8P
160952 -      ..
160953 -     [On 080311 0830 follow up examination indicates surgery to remove
160954 -     minor cancer on the nose was successful. ref SDS 63 HS6G
160955 -
160956 -
160957 -
160958 -
160959 -
160960 -
1610 -