Welch Company
San Francisco, CA


S U M M A R Y


DIARY: April 30, 2010 08:00 AM Friday; Rod Welch

Meeting Doctor Graham to repair #14 with gold crown.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Dental Repair Tooth #14 Gold Crown Preparation Set Temporary Crown R

2903 -
2903 -    ..
2904 - Summary/Objective
2905 -
290501 - Follow up ref SDS 10 0000. ref SDS 9 0000.
290502 -
290503 -
290504 -
290505 -
290506 -
290508 -  ..
2906 -
2907 -
2908 - Background
2909 -
290901 -    1.  On 090302 Doctor Graham performed an examination for a 2nd
290902 -        opinion, ref SDS 3 0001, on the proposal to do an implant on
290903 -        tooth #2 submitted on 090223 by Olsen Dental Services.
290904 -        ref SDS 1 VY7W  Doctor Graham was recommended by Richard also
290905 -        on 090223. ref SDS 2 KU4L
290907 -         ..
290908 -    2.  On 090310 Doctor Graham advsied he submitted 2nd opinion
290909 -        letter; however, the letter had not been received. ref SDS 5
290910 -        02BF
290912 -         ..
290913 -    3.  On 090210 Asked the doctor to submit an invoice for dental
290914 -        services on 090302, ref SDS 5 J19H, including xrays,
290915 -        ref SDS 3 RQ9N, which were used at Olsen Dental Services on
290916 -        090306 for evaluating scope of work. ref SDS 4 029N
290918 -         ..
290919 -    4.  On 090312 0837 letter to Doctor Graham confirms work performed
290920 -        by Olsen Dental Services; requests re-submission of 2nd opinon,
290921 -        and requests invoice for consultation. ref SDS 6 Y16J
290923 -         ..
290924 -    5.  On 100209 0944 called Doctor Graham to schedule teeth cleaning,
290925 -        and examination. ref SDS 7 TL9F
290927 -         ..
290928 -    6.  On 100325 0800 teeth cleaned, ref SDS 8 SW86; and Mark
290929 -        recommended crown for #14 with a crown for a cost of $1,000,
290930 -        and this was scheduled for 100415 0800. ref SDS 8 SW49
290932 -         ..
290933 -    7.  On 100326 1012 letter to Graham Dental Offices asks to change
290934 -        date of meeting to fix tooth #20 from 100415 to 100416 0800.
290936 -         ..
290937 -    8.  On 100329 0812 Lynn called and changed meeting to repair tooth
290938 -        #20 from 100415 to 100430 0800. ref SDS 10 TL9F
290940 -         ..
290941 -    9.  On 100430 0800 work performed by Doctor Mark Graham to repair
290942 -        #14 with gold crown; completed placement of temporary crown,
290943 -        and return on 100514 0730 to place permenant crown. ref SDS 0
290944 -        TL9F
290945 -
290946 -
290947 -
290949 -  ..
2910 -
2911 -
2912 - Progress
2913 -
291301 - Meeting with Doctor Mark Graham, scheduled on 100329. ref SDS 10 TL9F
291302 -
291303 - During the meeting this morning, Mark corrected the record on 100325;
291304 - he advised that repair is on tooth #14, not 20. ref SDS 8 SW49
291306 -  ..
291307 - Thanked Mark for critical "feedback" that helps avoid mistakes,
291308 - explained in NWO. ref OF 1 0936  Discussed briefly, advantages of
291309 - timely, written feedback with email to prevent small deviations from
291310 - compounding into calamity, and mentioned strong social and cultural
291311 - resistance to good management, also set out in NWO. ref OF 2 2670
291312 -
291313 -            [On 100508 0801 case study shows difficulty people have
291314 -            using good management to prevent small mistakes from
291315 -            compounding into major problems. ref SDS 13 VK5K
291317 -  ..
291318 - Mark numbed tooth #14, and performed grinding to remove the loose
291319 - filling.  He prepared the tooth for a crown.  This took about 90
291320 - minutes.
291322 -  ..
291323 - Mark explained trade-offs between a porcelain and gold crown.  He
291324 - advised there is a gold crown on tooth #19, and that good practice
291325 - should favor gold on tooth #14 above #19.
291326 -
291327 -                                    x
291328 -                                1111111
291329 -                       1234567890123456
291330 -                    R                    L
291331 -                       3332222222222111
291332 -                       2109876543210987
291333 -                                    x
291335 -  ..
291336 - The advantage of porcelain is appearance.  Mark held a mirror to
291337 - demonstrate that tooth #14 (and #19) do not present an appearance
291338 - issue.
291340 -  ..
291341 - Decided to use gold.  Mark advised that his dad, Doctor David Graham
291342 - prepares gold crowns.
291344 -  ..
291345 - Mark scheduled setting the gold crown in 2 weeks on 100514 0730.
291346 -
291347 -        [On 100503 0912 temporary crown on #14 fell out while brushing
291348 -        teeth; called and scheduled repair on 100505 1300. ref SDS 11
291349 -        TL9F
291350 -
291351 -        [On 100505 1300 Doctor Mark Graham repaired the failed
291352 -        temporary crown on #14. ref SDS 12 TL9F
291354 -         ..
291355 -        [On 100514 0730 final permenant gold crown completed on
291356 -        #14. ref SDS 14 TL9F
291358 -  ..
291359 - Thanked Mark and Lynn for coming in early to accomodate the customer.
291360 -
291361 -
291362 -
291363 -
291364 -
291365 -
291366 -
291367 -
291368 -
291369 -
2914 -