Welch Company
San Francisco, CA


S U M M A R Y


DIARY: October 18, 2011 08:00 AM Tuesday; Rod Welch

VA meeting Doctor Mesgar in Dermatology VA Martinez.

1...Summary/Objective
2...Myopathy Reduced after Ending Simvastatin 40 Mg Starting Rosuvastatin
3...Dermatology Examination Finds No Rosacia Nor Melanoma


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CONTACTS 
SUBJECTS
Dermatology Examination Near Nose Below Right Eye Mohs Surgery No Ev                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
5103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5103 -    ..
5104 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
5105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
510501 - Follow up ref SDS 6 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510503 - Excellent meeting with favorable findings.  Examination found no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
510504 - evidence of continuing skin disease.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
510505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510508 -  ..
5106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5108 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
510901 - Myopathy Reduced after Ending Simvastatin 40 Mg Starting Rosuvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
510902 - 
510903 - Walking from parking into the VA building, spotted Doctor Sandhu also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
510904 - arriving for work, and coming from the parking lot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
510906 -  ..
510907 - Waved, and reported significant recovery from myopathy caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
510908 - simvastatin, discussed with the doctor during a meeting on 110803                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
510909 - 1400. ref SDS 4 RP4F  While walking, lifted left arm and demonstrated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
510910 - expanded range of motion moving the left hand behind the neck, and as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
510911 - a result of ending treatment with simvastatin 40 mg, and starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
510912 - rosuvastatin 10 mg, ordered by Doctor Egan on 110817 1030. ref SDS 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
510913 - DG36  Case study shows rosuvastatin begun on 110824, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
510914 - 101010 0744. ref SDS 3 KF8O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
510915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510916 -            [On 111128 0202 letter to medical team reports notice to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
510917 -            Doctor Sandhu that myopathy improved after ending tratment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
510918 -            with simvastatin 40 mg. ref SDS 7 XG3K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
510920 -  ..
510921 - The doctor seemed lost in thought; did not seem impressed by this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
510922 - report, despite having personal issues from myopathy taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
510923 - simvastatin, also, reported on 110803 1400. ref SDS 4 YU4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
510924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
5110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

SUBJECTS
Default Null Subject Account for Blank Record                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
5203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
520401 -  ..
520402 - Dermatology Examination Finds No Rosacia Nor Melanoma                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
520403 - 
520404 - This meeting evaluates melanoma (skin cancer), following surgery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
520405 - several years ago as reported on 100922 1100. ref SDS 2 PT5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
520407 -  ..
520408 - Today, Doctor Mesgar examined the nose where Mohs surgery was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
520409 - performed to remove cancerous skin.  She reporting finding no signs of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
520410 - continuing or recurent cancer.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
520412 -  ..
520413 - Reported there have been no symptoms of rash nor blemishes from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520414 - rosacia for several years, since the eyes were treated by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
520415 - Margulies, reported on 070312 1200. ref SDS 1 UF6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
520417 -  ..
520418 - Doctor Mesgar reported that examination of face today finds no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
520419 - recurrent rosacia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
520421 -  ..
520422 - The doctor used liquid nitrogen spray to treat one blemish on the face                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
520423 - to the right and below the right eye.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
520425 -  ..
520426 - Doctor Mesgar did a full body examination and found no treatable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
520427 - disease.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
520429 -  ..
520430 - The doctor scheduled follow up in a year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
520431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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5205 -