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: October 15, 2008 03:37 PM Wednesday; Rod Welch

Kaiser notifies Millie to submit UCSF report on blood test for INR to manage PE.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 3 0000, ref SDS 2 504R.
040502 -
040503 -
040504 -
040505 -
040506 -
040508 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Millie received a letter from Gloria...
040902 -
040903 -    1.  Kaiser Permanente
040904 -        Anticoagulation Service
040906 -         ..
040907 -        10/9/2008
040909 -         ..
040910 -        Mildred A Buck
040911 -        1158 St Matthew Pl #103
040912 -        Concord, CA  94518
040917 -         ..
040918 -    2.  This is just a friendly reminder from the Anticoaglation Clinic
040919 -        that you are late for your Protime INR laboratory blood draw.
040920 -        The last recorded Protime INR we have is INR 2.9 08/21/2008.
040921 -        If you have completed your lab work within the past week and we
040922 -        have not yet contacted you, please call our office.
040924 -  ..
040925 - Gloria reports today receiving results of the blood test at UCSF on
040926 - 080821, submitted with Millie's letter to UCSF on 080827, with a copy
040927 - to Gloria at Kaiser, as part of Millie's medical team. ref SDS 2 504R
040929 -  ..
040930 - Millie received a letter from Gloria later on 080827 reported having
040931 - received the UCSF blood test report. ref SDS 3 BB66
040933 -  ..
040934 - Millie had a follow up blood test at UCSF on 080918 that reported INR
040935 - 2.1. ref SDS 4 K66J  The volume of work during the past 4 weeks
040936 - prevented notifying Kaiser.
040937 -
040938 -            [On 081016 INR 4.2 for blood test at UCSF, exceptionally
040939 -            high. ref SDS 5 K66J
040941 -             ..
040942 -            [On 081016 notified Gloria at Kaiser Coagulation Control
040943 -            Clinic in Martinez, that did not take Coumadin. ref SDS 6
040944 -            J37J
040946 -             ..
040947 -            [On 081019 Millie notified Gloria that Coumadin treatment
040948 -            was resumed the next day on Friday, 081017. ref SDS 7 TH7T
040950 -  ..
040951 - Gloria's letter continues...
040952 -
040953 -    3.  An important part of any Anticoagulation program is regular
040954 -        blood testing.  Taking warfarin helps protect you from blood
040955 -        clots and stroke.  Too much warfarin means you could have
040956 -        serious side effects (such as internal bleeding).  Not enough
040957 -        warfarin means you may not be protected against a stroke and
040958 -        blood clots.
040960 -         ..
040961 -    4.  Please go to any Kaiser Permanente lab to have this done
040962 -        immediately.
040964 -         ..
040965 -    5.  If you have any questions or changes about your medications,
040966 -        diet, other aspects of your care, or feel this letter was sent
040967 -        to you by mistake, please call our office.  Also be sure to
040968 -        tell us if your address or phone number has recently changed.
040970 -         ..
040971 -        Sincerely,
040972 -
040973 -
040975 -         ..
040976 -        Kaiser Permanente
040977 -        DSA Anticoagulation Service
040978 -        Phone 925 372 1628
040979 -
040980 -
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040987 -
0410 -