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: July 2, 2009 12:21 PM Thursday; Rod Welch

Mike called to advise Millie's MPA dose increased 2 pills per day.

1...Summary/Objective


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SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Mike confirmed an earlier telephone message he left for Millie to
040902 - increase MPA medication by taking 2 more pills per day.  Mike will
040903 - send additional medication today, so Millie gets it tomorrow.
040905 -         ..
040906 -        [On 090705 0301 Millie notified medical team that she received
040907 -        additional MPA treatment pills, and now has enough to complete
040908 -        the first cycle to 090716. ref SDS 5 FS6G
040910 -  ..
040911 - Mike advised that he is aware Millie is having breathing and cough
040912 - problems.  He plans to discuss with Tara a work plan for Doctor Rugo
040913 - to treat Millie's cough and shortness of breath.
040914 -
040915 -        [On 090702 1438 Jean Anne called for the UCSF Triage
040916 -        Department; and reported discussions with Tara, based on Mike
040917 -        notifying Tara about Millie's requirements for relief from
040918 -        persistant cough and shortness of breath, ref SDS 3 QY5H; Jean
040919 -        Anne called back later an reported that UCSF prescribed
040920 -        Robitussin with codine to control Millie's cough, and this can
040921 -        be obtained from the Kaiser Pharmacy in Walnut Creek.
040922 -        ref SDS 3 1N4M
040924 -  ..
040925 - Advised of Doctor Hsu's review of CT scans for cause of Millie's cough
040926 - and breathing problems, but that Doctor Hsu is not a radiologist, and
040927 - so his analysis is limited, reported on 090701 1652. ref SDS 2 SF8I
040929 -  ..
040930 - Mike is aware that Doctor Rugo submitted the files to the UCSF
040931 - Radiology Department to make a thorough review of Millie's CT tests on
040932 - 090413 and 090612.  During the call today, Mike further said that he
040933 - looked at UCSF records on the computer and discovered that the UCSF
040934 - Radiology Department has not yet published a report on reviewing
040935 - Millie's CT tests.
040937 -  ..
040938 - Mike will investigate to determine when UCSF will complete review of
040939 - the CT tests for developing a work plan on Millie recovering from
040940 - medical mistakes that caused severe symptoms of cough and shortness of
040941 - breath from radiation injury to Millie's lungs, noted by Doctor Hsu on
040942 - 090609. ref SDS 1 R24G
040944 -  ..
040945 - He will notify the radiology department that the patient wants a copy
040946 - of any report that is prepared.
040947 -
040948 -
040950 -  ..
0410 -
0411 -
0412 - 1344
0413 -
041301 - When Millie returned from errands, she reported a new problem over the
041302 - past several weeks of having a dull pain on the left side of her ribs
041303 - about 2" below the arm pit.  This occurs when she twists her body to
041304 - the left, as in turning to pick up a glass of water on a table on the
041305 - left side while sitting.
041307 -         ..
041308 -        [On 090702 2241 Millie notified medical team Millie has new
041309 -        symptoms of tightness on the left side. ref SDS 4 D13T
041310 -
041311 -
041312 -
041313 -
041314 -
041315 -
041316 -
0414 -