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: January 23, 2009 10:19 AM Friday; Rod Welch

Called Kaiser about meeting review recovering from separated shoulder.

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 2 0000, ref SDS 1 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Background...
040902 -
040903 -    1.  Millie was treated in the Emergency Department at Kaiser in
040904 -        Walnut Creek CA yesterday for shoulder injury from a fall
040905 -        during exercise in aerobics class. ref SDS 1 CW6J
040907 -         ..
040908 -    2.  The shoulder was fixed with a "reduction" procedure,
040909 -        ref SDS 1 LV3O,
040911 -         ..
040912 -    3.  The ER doctor prescribed medication to treat Millie for high
040913 -        blood pressure based on diagnostics during Millie's treatment
040914 -        for a separated shoulder.  Millie declined this treatment.
040915 -        ref SDS 1 LV69
040917 -         ..
040918 -    4.  The ER doctor prescribed examination the next day on 090123 by
040919 -        Millie's primary care physician to take responsibility for
040920 -        concern about treatment for high blood pressure. ref SDS 1 1F3J
040921 -        The ER doctor sent a letter to the primary care physician
040922 -        confirming requirement for examination today on 090123 to
040923 -        evaluate Millie for high blood pressure. ref SDS 1 TQ8H
040925 -         ..
040926 -    5.  Millie sent a letter on 090123 to the primary care physician as
040927 -        part of the medical team confirming understandings on meeting
040928 -        with the primary care physician, as prescribed by the ER
040929 -        doctor. ref SDS 2 KR9T
040930 -
040931 -
040933 -  ..
040934 - Called Kaiser to get the time for meeting with the doctor, per the
040935 - letter to the medical team last night on 090123. ref SDS 2 KR9T
040937 -  ..
040938 - Talked to Sheree in the Infusion Clinic.
040939 -
040940 -      Sheree can be reached at...
040941 -
040942 -              925 295 4030 #4 #3
040944 -  ..
040945 - Sheree feels that Doctor Lillenstein made a mistake ordering a follow
040946 - up examination today by the primary care physician. ref SDS 1 1F3J
040948 -  ..
040949 - We reviewed the record showing that the ER doctor sent a letter to the
040950 - primary care physician confirming requirements for examination today
040951 - on 090123.  Additionally, the ER doctor wrote a letter to Millie with
040952 - special instructions for discharge from the hospital that call for
040953 - meeting with the primary care physician today on 090123. ref SDS 1
040954 - TQ8H
040956 -  ..
040957 - Sheree feels a written order from the ER doctor to the patient should
040958 - be implemented by Kaiser.
040960 -  ..
040961 - Sheree plans to write another letter to the doctor asking about
040962 - scheduling a meeting with Millie today for follow up examination on
040963 - the issue of high blood pressure.
040964 -
040965 -        [...in another record today on 090123 the primary care
040966 -        physician called Millie and advised that medication for high
040967 -        blood pressure is not required by Millie's patient history.
040968 -        ref SDS 3 ZI5I
040970 -  ..
040971 - Millie's blood pressure this morning is...
040972 -
040973 -               158 77 63
040975 -  ..
040976 - This is within the range Doctor Lillenstein indicated last night
040977 - was below the danger of high blood pressure.
040978 -
040979 -
040980 -
040981 -
040982 -
040983 -
040984 -
040985 -
040986 -
040987 -
040988 -
040989 -
040990 -
0410 -