Welch Company
San Francisco, CA
S U M M A R Y
DIARY: November 5, 2010 10:23 PM Friday;
Rod Welch
VA notified a-fib like events ask about post-heart surgery stress test.
1...Summary/Objective
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CONTACTS
SUBJECTS
A-fib Heart Reported Cardiothoracic CT Surgery Team Recent A-fib Eve
2003 -
2003 - ..
2004 - Summary/Objective
2005 -
200501 - Follow up ref SDS 4 0M6S, ref SDS 3 PPXY.
200502 -
200503 -
200504 -
200506 - ..
2006 -
2007 -
2008 - Progress
2009 -
200901 - Letter to VA Med Center CT team says...
200902 -
200903 - 1. Subject: Heart Fibrillations, Welch SS....0144
200904 - Date: Fri, 05 Nov 2010 23:01:27 -0700
200912 - ..
200913 - 2. Had heart surgery on 091022 - Doctor Elaine Tseng, attending,
200914 - ref SDS 1 PQWU, with Neil, Paula, KC and others on the team.
200915 - ref SDS 1 YS3F
200917 - ..
200918 - 3. The work went well. A few days later had two (2) a-fib events,
200919 - and recovered without complications, reported on 091024.
200920 - ref SDS 2 HR7G
200922 - ..
200923 - 4. Since discharge on 091104, from time to time have felt physical
200924 - sensations of a-fib events reported on 091024. Since these
200925 - have been isolated and infrequent they were not reported.
200927 - ..
200928 - 5. The past week, seem to be experiencing similar but more regular
200929 - a-fib events in the late evenings and with varying durations of
200930 - 2 - 10 minutes. These mostly occur when laying down. This
200931 - evening just noticed occurrance while sitting up and working,
200932 - as I am now.
200933 -
200934 - [On 101106 1533 notified Peggy and Bob of new a-fib
200935 - events. ref SDS 8 YX4W
200937 - ..
200938 - [On 101108 0929 notified Martinez Clinic of communication
200939 - with VA San Francisco Medical Center. ref SDS 9 6X9P
200941 - ..
200942 - [On 101109 1415 letter from Peggy seems to ask about
200943 - response from doctor at VA on notice of a-fib events,
200944 - saying it sounds "scarry." ref SDS 10 XR5H
200946 - ..
200947 - [On 101110 1216 sent another letter to VA, ref SDS 11 W54S,
200948 - asking for feedback on the letter to the medical team on
200949 - 101105 2223, ref SDS 7 755I, reporting more frequent a-fib
200950 - events. ref SDS 7 G68X
200952 - ..
200953 - [On 101115 1624 called Karen in Cardiology to facilitate
200954 - feedback on correspondence reporting possible a-fib events.
200955 - ref SDS 12 BF5J
200957 - ..
200958 - [On 101115 1624 television commercial claims atrial
200959 - fibrillation (a-fib) can cause strokes; called Karen in
200960 - Cardiology Department VA Medical Center San Francisco
200961 - asking about progress responding to letter reporting recent
200962 - increase a-fib events. ref SDS 12 S070
200964 - ..
200965 - [On 101116 1722 letter from Peggy asking if arrangements
200966 - for EDG test at VA are now settled? ref SDS 13 7P7X
200968 - ..
200969 - [On 101117 0530 met with VA Medical Center San Francisco
200970 - Module #1; Neil has left cardiothoriacic surgery team;
200971 - Ramone advised letters on 101105, and follow up 101110,
200972 - were forwarded to Michael Byrd in General Surgery on 3rd
200973 - Floor. ref SDS 14 PPWU
200975 - ..
200976 - [On 101223 1030 not enough time for primary care physician
200977 - to review afib episodes reported to medical team on 101105,
200978 - and notified again on 101110. ref SDS 15 JF5N
200980 - ..
200981 - [On 110304 1126 scheduled meeting Doctor Egan on 110309 in
200982 - Cardiology Department VA Martinez. ref SDS 16 MY9V
200984 - ..
200985 - 6. Symptom is simply upper body sways back and forth. Not sure
200986 - the heart is beating any faster, it just seems to impart motion
200987 - to the body. Sometimes my face feels flush and sort of weak.
200988 - There is no pain, shortness of breath, nor duress of any kind.
200990 - ..
200991 - 7. The most recent event just ended while writing this letter, and
200992 - I feel essentially normal.
200994 - ..
200995 - 8. On 101010, began tracking medication against exercise and
200996 - vitals. ref SDS 6 QJ5I
200998 - ..
200999 - 9. The chart shows recovery from cabg with rising physical
201000 - activity and stronger cardio function, until a few days ago,
201001 - when I must have caught some kind of something, and had to back
201002 - off a bit. ref SDS 6 VK3J
201004 - ..
201005 - 10. Don't know significance of a-fib symptoms, if any. Just
201006 - letting the team know. Thought it might a good idea to do
201007 - follow up stress test to compare with results that led to
201008 - angiogram, and then heart surgery. What does the team think?
201009 -
201010 - [On 101109 1415 letter from Peggy seems to ask about
201011 - response from doctor at VA on notice of a-fib events,
201012 - saying it sounds "scarry." ref SDS 10 XR5H
201014 - ..
201015 - [On 101116 1722 letter from Peggy asking if arrangements
201016 - for EDG test at VA are now settled? ref SDS 13 7P7X
201018 - ..
201019 - [On 101117 0530 met with VA Medical Center San Francisco
201020 - Module #1; Neil has left cardiothoriacic surgery team;
201021 - Ramone advised letters on 101105, and follow up 101110,
201022 - were forwarded to Michael Byrd in General Surgery on 3rd
201023 - Floor. ref SDS 14 OS6H
201025 - ..
201026 - 11. Remain extremely grateful and impressed by the huge amount of
201027 - work everyone did on my surgery, shown by review of medical
201028 - chart, beginning on 100928 0706. ref SDS 5 NA4Y
201036 - ..
201037 - 14. PS. Sending a copy to Doctor Sandhu at Martinez Clinic to
201038 - support primary care ops.
201039 -
201040 -
201041 -
201042 -
201043 -
201044 -
2011 -