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 26, 2008 03:34 PM Tuesday; Rod Welch

Millie submits labs to Kaiser for case management pulmonary embolism.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Labs Blood Test 080207 Results INR 2.4  Sbmitted Kaiser Coalgulation

0803 -
0803 -    ..
0804 - Summary/Objective
0805 -
080501 - Follow up ref SDS 8 0000. ref SDS 7 0000.
080502 -
080503 -
080504 -
080505 -
080507 -  ..
0806 -
0807 -
0808 - Progress
0809 -
080901 - Millie submitted ref DIT 1 0001 responding to Gloria's letter,
080902 - ref DRP 1 0001, dated 080121 from Kaiser received on 080124,
080903 - ref SDS 8 EX5H, which implemented planning in Gloria's earlier letter
080904 - on 080121. ref SDS 5 RT5J
080906 -  ..
080907 - Millie's letter says..
080908 -
080909 -    1.  Responding to your letter dated 080121 and received a few days
080910 -        later on 080124, ref SDS 8 EX5H, you requested a report on
080911 -        blood tests at UCSF to support coagulation management of
080912 -        pulmonary embolism. ref SDS 8 OL4H, ref DIT 1 0001
080914 -         ..
080915 -    2.  INR 2.4 was reported for the most recent labs at UCSF on
080916 -        080207. ref SDS 14 PU7Y, ref DIT 1 5D6G
080918 -         ..
080919 -    3.  Labs will be drawn again on 080306 to begin a new treatment
080920 -        cycle.  I will continue submitting results to your office.
080921 -        ref DIT 1 3X6K
080922 -
080923 -            [On 080307 Millie submitted the report to Kaiser for the
080924 -            blood test at UCSF on 080306. ref SDS 16 EX5H
080926 -         ..
080927 -    4.  Your letter on 080121 asked to be notified about bruising.
080928 -        ref SDS 8 SK3U, ref DIT 1 RD7G
080930 -         ..
080931 -    5.  Please see the record on 080125. ref SDS 9 N65K, ref DIT 1 QD7L
080933 -  ..
080934 - Millie's letter today confirms telephone discussion with Gloria on
080935 - 080204, when Gloria recommended that patients taking Coumadin should
080936 - use Tylenol rather than Motrin or Advil to control pain, because these
080937 - inflammatory control treatments can cause minor internal bleeding, and
080938 - Coumadin can make this life threatening. ref SDS 13 GO9K
080940 -  ..
080941 - Millie's letter to Gloria at Kaiser Coagulation Control Clinic
080942 - continues...
080943 -
080944 -    6.  A recent CT test at Kaiser on 080212 was reviewed on 080215,
080945 -        and seems to show "new" issues related to pulmonary embolism.
080946 -        ref SDS 15 RV78, ref DIT 1 3X7N
080948 -         ..
080949 -    7.  By copy request comment from medical team, and recognize this
080950 -        can be reviewed during regularly scheduled meetings in March,
080951 -        if no serious issues are presented. ref DIT 1 3X8K
080952 -
080953 -            [On 080428 the medical team has not commented; report on
080954 -            follow up CT test on 080425 reviewed on 080428 shows
080955 -            findings of "increased opacity also noted in the right
080956 -            lower lobe." ref SDS 17 644L
080958 -             ..
080959 -            [On 080507 Millie reports spike in heart beat (pulse)
080960 -            while laying down in bed; cases study shows occassional
080961 -            spike in pulse reported by heart monitor during
080962 -            exercise, evaluated previously as defective equipment.
080963 -            ref SDS 18 CK4K
080965 -             ..
080966 -            [On 090415 1642 report for CT test on 090413 reported
080967 -            progression of nodules in the lungs, ref SDS 19 RV78; after
080968 -            completing 4 weeks of intense radiation 090317; research
080969 -            indicates "ground glass opacities" are early stages of lung
080970 -            cancer; and, lung cancer can be safely excised without
080971 -            lobectomy surgery. ref SDS 19 LG9L
080972 -
080973 -
080974 -
080975 -
080976 -
080977 -
080978 -
080979 -
080980 -
0810 -