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: December 28, 2009 02:18 PM Monday; Rod Welch

VA letter clarifies meeting with Doctor Stewart on Jan 5th.

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 35 0000. ref SDS 33 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Background
0409 -
040901 - On 091103 Paula reported the VA has scheduled a meeting today with
040902 - Doctor Stewart for planning Heller Myotomy surgery to correct
040903 - achalasia problem. ref SDS 18 PS60  On 091104 0718 Medical Chart
040904 - discharge guidance lists meeting with Doctor Stewart 091117 1300,
040905 - which conflicts with patient history today. ref SDS 19 Q03J  On 091119
040906 - 1000 Erick confirmed visit with Doctor Stewart on 091208, and is
040907 - reviewing date of surgery scheduled for 091217. ref SDS 21 935H
040909 -  ..
040910 - On 091208 Doctor Stewart advanced the schedule for surgery one day to
040911 - 091216. ref SDS 23 6E41
040913 -  ..
040914 - On 091216 0600 meeting Doctor Stewart for Heller Myotomy surgery to
040915 - correct achalasia; check in at ASU. ref SDS 27 PP8W
040917 -  ..
040918 - On 091217 0600 meeting with Joe and Jon on recovring from Heller
040919 - Myotomy surgery; report of complication during surgery on 091216,
040920 - which was repaired, with plan for test to evaluate recovery. reported
040921 - on 091217 0600, ref SDS 28 0042  Doctor Stewart visited and expects
040922 - can start eating after favorable test. ref SDS 28 027A
040924 -  ..
040925 - On 091218 0600 xray with gastrogafin to evaluate repair for
040926 - complicaiton during Heller Myotomoy surgery Wednesday, ref SDS 29 PP8W,
040928 -  ..
040929 - On 091219 0600 doctor plans discharge tomorrow after evaluating
040930 - progress eating solid food today. ref SDS 30 PP5V  Since now eating
040931 - solid food, switched to oral pill medication to replace IV injections;
040932 - this relieved pain that has been increasing using IV catheters set on
040933 - Wednesday, ref SDS 30 PQPX, and also eliminated need to replace IV
040934 - catheters per TCU protocol. ref SDS 30 7Q55  Doctors prescribed hiking
040935 - to recover from Heller Myotomy surgery resolving achalasia.
040936 - ref SDS 30 7Q6P   Doctor Ratcliffe and Neil visit and discussing doing
040937 - a small business trial to apply SDS technology for upgrading VA and
040938 - UCSF case management. ref SDS 30 0M6S  Nurse advises that patient
040939 - approved for moving to a ward for non-critical care, as a predicate to
040940 - discharge, but since there are no rooms available, patient will remain
040941 - in TCU untill a room is available. ref SDS 30 0M8S
040943 -  ..
040944 - On 091220 0527 discharge approved from hospital today. ref SDS 31 PP8W
040945 - Left the hospital about 1220. ref SDS 31 HB5O
040947 -  ..
040948 - On 091221 1532 Isagani called to schedule meeting with Doctor Stewart
040949 - at VA in San Francisco on 100105. ref SDS 32 PP8W
040951 -  ..
040952 - On 091222 1109 letter from Isagana says meeting with Doctor Stewart is
040953 - scheduled on 100112 1400. ref SDS 33 PP8W
040955 -  ..
040956 - On 091223 1452 letter from VA says meeting scheduled with Doctor
040957 - Stewart is on 100105 1400. ref SDS 34 PP8W
040959 -  ..
040960 - On 091228 1049 letter to Isagani requests clarification of date for
040961 - meeting with Doctor Stewart, and whether there two (2) separate
040962 - meetings. ref SDS 35 PP8W
040964 -  ..
040965 - On 091228 1418 letter from Isagani confirms meeting with Doctor
040966 - Stewart is on 100105 1400 to review progress recovering from surgery
040967 - to correct achalasia. ref SDS 0 PP8W
040968 -
040969 -
040970 -
040972 -  ..
0410 -
0411 -
0412 - Progess
0413 -
041301 - VA responds to letter earlier today on 091228 1049 requesting
041302 - clarification of meeting, ref SDS 35 PP8W, and Isagani says...
041303 -
041304 -    1.  Subject: RE: Meeting Jan 5th Post Op Heller Myotomy Surgery Dec 16th Achalasia Resolved
041305 -        Date: Mon, 28 Dec 2009 11:30:02 -0800
041312 -         ..
041313 -    2.  I'm checking in our Vista computer system, and I only see the
041314 -        1/5/2010 appt.  You only need one, so I'd just go ahead and
041315 -        stick with coming out on 1/5/2010 at 1400.  Dr.  Stewart will
041316 -        let you know at that time if you need any additional follow up
041317 -        beyond that.  Hope that helps.  See you in the New Year.
041318 -
041324 -
041325 -
041326 -
041327 -
0414 -