THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rod@welchco.com


S U M M A R Y


DIARY: March 25, 2010 08:00 AM Thursday; Rod Welch

Doctor Graham dental examination and cleaning.

1...Summary/Objective
2...2nd Opinion Extraction Tooth #2 Implemented No Complications
3...Extraction Tooth #2 2nd Opinion Implemented No Complications
4...Dead Tooth Test Pain No Symptoms #7
5...#14 Chipped Schedule Repair with Crown on April 15
6...Periodontal Pocket Examination Minimal Findings No Action Required
7...Richard Doing Better Recovering from Coronary Issues
8...Clean Procedure Dental Scaler Pick Avoid Gum Injury Pain
9...Doctor Patient Partnership Dentist Comfortable Work Intelligently


..............
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CONTACTS 

SUBJECTS
Dental Examination Health Care Background Review Medical History Mee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
2003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
2003 -    ..
2004 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
2005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
200501 - Follow up ref SDS 13 0000. ref SDS 9 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
200502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
200503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
200504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
200505 -            [On 100430 0800 meeting Doctor Graham to make dental                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
200506 -            repairs with gold crown on #14. ref SDS 15 TL9F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
200507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
200508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
200509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
200511 -  ..
2006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
2007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
2008 - Background                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
2009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
200901 -    1.  On 090302 Doctor Graham performed an examination for a 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
200902 -        opinion, ref SDS 6 0001, on the proposal to do an implant on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
200903 -        tooth #2 submitted on 090223 by Olsen Dental Services.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
200904 -        ref SDS 4 VY7W  Doctor Graham was recommended by Richard also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
200905 -        on 090223. ref SDS 5 KU4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
200907 -         ..
200908 -    2.  On 090310 Doctor Graham advsied he submitted 2nd opinion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
200909 -        letter; however, the letter had not been received. ref SDS 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
200910 -        02BF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
200912 -         ..
200913 -    3.  On 090210 Asked the doctor to submit an invoice for dental                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
200914 -        services on 090302, ref SDS 8 J19H, including xrays,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
200915 -        ref SDS 6 RQ9N, which were used at Olsen Dental Services on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
200916 -        090306 for evaluating scope of work. ref SDS 7 029N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
200918 -         ..
200919 -    4.  On 090312 0837 letter to Doctor Graham confirms work performed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
200920 -        by Olsen Dental Services; requests re-submission of 2nd opinon,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
200921 -        and requests invoice for consultation. ref SDS 9 Y16J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
200923 -         ..
200924 -    5.  On 100209 0944 called Doctor Graham to schedule teeth cleaning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
200925 -        and examination. ref SDS 13 TL9F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
200927 -         ..
200928 -    6.  On 100325 0800 teeth cleaned, ref SDS 0 SW86; and Mark                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
200929 -        recommended crown for #20 with a crown for a cost of $1,000,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
200930 -        and this was scheduled for 100415 0800. ref SDS 0 SW49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
200931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
200932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
200933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
200935 -  ..
2010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
2011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
2012 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
2013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
201301 - Meeting with Mark Graham, DDS cleaning and examination scheduled with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
201302 - Lynn on 100209 0944. ref SDS 13 TL9F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
201303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
201304 -            [On 101108 0807 called Graham Dental Services and learned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
201305 -            meeting scheduled on 101007 was missed due to mixups after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
201306 -            Mil's death; re-scheduled for 110202 0800. ref SDS 17 VH5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
201308 -  ..
201309 - Mark asked about new medical issues since the prior visit on 090302?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
201310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
201311 -        1.  Heart surgery quadruple bypass on 091022. ref SDS 10 PQWU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
201313 -             ..
201314 -        2.  Heller myotomy surgery to resolve achalasia performed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
201315 -            091216. ref SDS 12 KE9U                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
201317 -  ..
201318 - Mark asked about achalasia, which is explained in the record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
201319 - 091030. ref SDS 11 KE3B                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
201321 -  ..
201322 - Was pleased today that resolution of achalasia enabled fully reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
201323 - in the dental chair to facilitate Mark's work.  During the visit on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
201324 - 090302, Doctor David Graham was very considerate working with the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
201325 - patient in a more vertical postion to prevent vomitting, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
201326 - achalasia. ref SDS 6 DX5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
201327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
201328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
201329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
2014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

SUBJECTS
2nd Opinion Implementation Report Missing from Medical Records Evalu                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
4403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
440401 -  ..
440402 - 2nd Opinion Extraction Tooth #2 Implemented No Complications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
440403 - Extraction Tooth #2 2nd Opinion Implemented No Complications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
440404 - 
440405 - Follow up ref SDS 6 H664.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
440406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
440407 - Mark asked about results implementing Doctor Graham's (Mark's dad) 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
440408 - opinion recommending extraction and possible implant for tooth #2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
440409 - also, reported on 090302 0815. ref SDS 6 H664                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
440411 -  ..
440412 - Work was performed by Doctor Harris and Doctor Meyer in Steve Olesn's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
440413 - dental office, and implementing 2nd opinion issued by Doctor David                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
440414 - Graham, reported on 090306. ref SDS 7 0001  The record implementing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
440415 - Doctor Graham's 2nd opinion was submitted to the doctor in a letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
440416 - dated 090312 0837. ref SDS 9 Y16J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
440418 -  ..
440419 - Mark looked through the file, but could not find in the medical chart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
440420 - the letter on 090312, transmitting the record for work on 090306.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
440422 -  ..
440423 - Difficulty finding patient history in the medical chart is a common                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
440424 - problem, noted by Doctor Rugo at UCSF on 080219, ref SDS 3 L18L, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
440425 - shown in case study on 061024 1427. ref SDS 2 JD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
440427 -  ..
440428 - Mark asked about complications from the extraction procedure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
440429 - 090306?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
440431 -  ..
440432 - Advised there have been no complications.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
440433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
440434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
440435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
4405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

SUBJECTS
Dead Tooth Test Pain No Symptoms #7 Medical Chart Report 090302 Poss                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
7003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
700401 -  ..
700402 - Dead Tooth Test Pain No Symptoms #7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
700403 - 
700404 - Mark read through the medical chart and noticed the report of possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
700405 - "dead" tooth, from examination on 090302 0815. ref SDS 6 0336                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
700407 -  ..
700408 - Mark asked about complications and symptoms from tooth #7, identified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
700409 - by xray during the meeting on 090302 for observation to evaluate #7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
700410 - being a "dead" tooth. ref SDS 6 0336  He seemed to indicate symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
700411 - would include pain, bleeding, and swelled gums.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
700413 -  ..
700414 - No evident complications nor symptoms have occurred for tooth #7 since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
700415 - the meeting at the Graham Dental Offices on 090302. ref SDS 6 0336                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
700417 -  ..
700418 - Mark tested 3 teeth for pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
700420 -  ..
700421 - The first 2 teeth registerd pain within about 5 seconds.  The 3rd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
700422 - tooth, which was #7, took more like 8 seconds.  Mark seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
700423 - indicate that any response to the test suggests nerves are still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
700424 - active for tooth #7, and so immediate repair is not needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
700425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
700426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
700427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
7005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

SUBJECTS
Tooth #14 Chipped Schedule Repair with Crown on 100415 Meeting Rod W                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
9603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
960401 -  ..
960402 - #14 Chipped Schedule Repair with Crown on April 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
960403 - --------------------------------------------------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
960404 - Examination further showed that tooth #14, which has been chipped for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
960405 - 5+ years, now has remnants of a prior filling that have become                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
960406 - "loose."  Mark therefore removed the loose material in tooth #14.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
960408 -  ..
960409 - Mark explained that this change in the condition of #14, increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
960410 - exposure to decay from food getting wedged in a manner that cannot be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
960411 - maintained with routine brushing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
960412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
960413 -                                    x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
960414 -                                1111111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
960415 -                       1234567890123456                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
960416 -                    R                    L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
960417 -                       3332222222222111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
960418 -                       2109876543210987                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
960420 -  ..
960421 - Teeth layout and identification was reported previously on 090302                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
960422 - 0815. ref SDS 6 0336                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
960424 -  ..
960425 - Repairing #14 with a crown will cost $1,000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
960427 -  ..
960428 - Decided to do the cleaning today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
960430 -  ..
960431 - Lynn scheduled repair for tooth #14 on 100415 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
960432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
960433 -            [On 100326 1620 letter asks Graham Dental Offices to change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
960434 -            the date for the work to a Friday at 0800. ref SDS 14 7I5T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
960435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
960436 -            [On 100430 0800 meeting Doctor Graham to make dental                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
960437 -            repairs with gold crown on #14. ref SDS 15 TL9F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
960439 -             ..
960440 -            [On 100514 0730 final permenant gold crown completed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
960441 -            #14. ref SDS 16 TL9F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
960442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
960443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
960444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
960445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
9605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

SUBJECTS
Dental Periodontal Teeth Gum Pockets Examination Minimal Findings No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
AQ03 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
AQ0401 -  ..
AQ0402 - Periodontal Pocket Examination Minimal Findings No Action Required                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
AQ0403 - 
AQ0404 - Mark measured gum pockets, assisted by Karen.  He explained that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
AQ0405 - pockets in the gums greater than 4 should be further examined by a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
AQ0406 - periodontist for deep cleaning and other remedies.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
AQ0408 -  ..
AQ0409 - Examination showed 2 - 4 teeth measured as much as 4, and all the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
AQ0410 - other teeth measured below 4.  As a result, Mark did not recommend                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
AQ0411 - periodontal examination.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
AQ0412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
AQ0413 -            [On 110202 0800 Mark's dad, David, consulted on periodontal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
AQ0414 -            examination and indicated findings indicated healthy gums.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
AQ0415 -            ref SDS 18 8730                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
AQ0416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
AQ0417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
AQ0418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
AQ0419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
AQ0420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
AQ0421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
AQ0422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
AQ0423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
AQ05 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

SUBJECTS
Richard Recovring Well Coronary Issues Myocardial Infarction                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
B303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
B30401 -  ..
B30402 - Richard Doing Better Recovering from Coronary Issues                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
B30403 - 
B30404 - Doctor David Graham was not in the office this morning.  He is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
B30405 - teaching at the dental college today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
B30411 -  ..
B30412 - Asked Mark to mention to his dad, that Richard Popejoy is doing much                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
B30413 - better now, after suffering a heart attack, and difficult recovery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
B30414 - during 2008 and 2009.  Richard made the referral to Doctor Graham,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
B30415 - reported on 090302 0815. ref SDS 6 JW9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
B30417 -  ..
B30418 - Karen, a nurse assisting Mark this morning, advised that Richard                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
B30419 - stopped in the office a few months ago and visited with David.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
B30420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
B30421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
B305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

SUBJECTS
Dental Teeth Clean Procedure Scaler Pick Avoid Gum Injury Pain Excel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
BT03 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
BT0401 -  ..
BT0402 - Clean Procedure Dental Scaler Pick Avoid Gum Injury Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
BT0403 - 
BT0404 - Mark did the teeth cleaning procedure using a conventional dentist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
BT0405 - pick, rather than the new technology using ultrasonic scaler.  Thanked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
BT0406 - Mark for his consideration, since prior experience with Olsen Dental                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
BT0407 - Offices showed ultrasonic scaler caused considerable pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
BT0408 - 050518 1100. ref SDS 1 FB6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
BT0410 -  ..
BT0411 - He seemed to indicate that generally teeth are well maintained based                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
BT0412 - on finding minimal plack.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
BT0414 -  ..
BT0415 - Karen completed teeth cleaning with a polishing procedure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
BT0416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
BT0417 -            [On 101108 0807 called Graham Dental Services and learned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
BT0418 -            meeting was scheduled on 101007, and missed due to mixups                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
BT0419 -            flowing from Mil's death; rescheduled for 110202 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
BT0420 -            ref SDS 17 VH5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
BT0421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
BT0422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
BT05 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

SUBJECTS
Doctor Patient Partnership Dentist Comfortable Communication Interne                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
CJ03 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
CJ0401 -  ..
CJ0402 - Doctor Patient Partnership Dentist Comfortable Work Intelligently                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
CJ0403 - 
CJ0404 - Mark indicated he is familiar with the Internet, and was receptive to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
CJ0405 - reviewing Communication Metrics on Welchco.com...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
CJ0406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
CJ0407 -              http://www.welchco.com/                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
CJ0409 -  ..
CJ0410 - A good place to start is with a typical doctor/patient dialog in a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
CJ0411 - meeting...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
CJ0412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
CJ0413 -              http://www.welchco.com/03/00050/01/09/03/02/03/0309.HTM#PXWX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
CJ0414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
CJ0415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
CJ0416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
CJ0417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
CJ0418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
CJ0419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
CJ0420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
CJ05 -