THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rod@welchco.com


S U M M A R Y


DIARY: February 1, 2008 08:45 AM Friday; Rod Welch

Millie meeting with Kaiser Mental Health Department.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Mental Health Consultation Stress Cancer Treatment Fall Injuries Rig                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
1103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1103 -    ..
1104 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
1105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110501 - Follow up ref SDS 6 0000. ref SDS 5 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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110508 -  ..
1106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1108 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110901 - Millie has been disappointed about problems on 080125. ref SDS 5 N65K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110902 - She met with Jacqueline today implementing the Doctor Johnson's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110903 - referral on 080118 to consult with mental health, ref SDS 4 X14J, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110904 - scheduled this past Monday, 080128. ref SDS 6 RB7F  Millie has been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110905 - reluctant to meet with Mental Health when the doctor made referral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110906 - previously on 070921. ref SDS 3 QY9V                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110908 -     [On 080204 elevated vitals during examination at Kaiser Minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110909 -     Injury Clinic reflect rising stress. ref SDS 7 YX5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110911 -  ..
110912 - Millie was very pleased today when Jacqueline commented that Millie's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110913 - prior work with the Mental Health Department, which was not helpful,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110914 - reported on 080118, ref SDS 4 1S5J, should be investigated and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110915 - corrected.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110917 -  ..
110918 - Millie recalled Jacqueline noting that patient calm demeanor does not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110919 - resolve traumatic experiences having stage 4 cancer for six (6) years.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110920 - Millie feels Jacqueline was sensitive to stress from emotional roller                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110921 - coaster during this complex patient history reported on 070921,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110922 - ref SDS 3 VV6J, and as noted, raised by the primary care physician on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110923 - 080118. ref SDS 4 X14J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110925 -        [On 080207 0900 severe bruising from fall noted by Doctor Rugo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110926 -        during examination for cancer treatment; doctor asks if Millie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110927 -        wants to consult social worker to report cause and prevention                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110928 -        of further injuries. ref SDS 8 QY5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110930 -         ..
110931 -        [On 080226 another IBC patient reports emotional roller                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110932 -        coaster living with cancer. ref SDS 9 M36X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110934 -  ..
110935 - Millie related that Jacqueline recommended today that Millie take more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110936 - time for herself, doing things she likes, rather than being a slave to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110937 - routine of work, household affairs, and constant demands of getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110938 - medical care.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110940 -  ..
110941 - Millie explained she has a "slave" for all that stuff, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110942 - staying active - hiking, traveling, reading, events.  Family and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110943 - friends are very supportive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110945 -  ..
110946 - Jacqueline indicated that keeping active is the best medicine for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110947 - mental health.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110949 -  ..
110950 - Follow up visit planned for 080208.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110952 - After the meeting today at Kaiser, Millie's friend, Janna, called and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110953 - suggested they take a short trip next weekend to Monterey and attend                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110954 - the Pebble Beach golf tournament.  Millie agreed to join Janna, along                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110955 - the lines of Jacqueline's recommendations today. ref SDS 0 U04G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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1110 -