Welch Company
San Francisco, CA


S U M M A R Y


DIARY: November 9, 2011 10:32 AM Wednesday; Rod Welch

Bob called on extend rehab to Thanksgiving due to infection.

1...Summary/Objective


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CONTACTS 
SUBJECTS
Bob Visit Arroyo Grande Community Hospital Recover Knee Replacement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
0403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0403 -    ..
0404 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
0405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040501 - Follow up ref SDS 17 0000. ref SDS 16 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040507 -  ..
0406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0408 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040901 - Bob's room at...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040903 -                        Mission View                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040904 -                        1425 Woodside Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
040905 -                        San Luis Obispo, CA  93401                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040906 -                        805 543 0210                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040908 -  ..
040909 - Bob returned calls from yesterday afternoon, reported on 111108 1824.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040910 - ref SDS 17 L45H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040912 -  ..
040913 - Bob said his temperature this morning was 99.8.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040915 -            [On 111110 1153 Bob said his temperature has returned to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040916 -            normal. ref SDS 18 S48O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
040918 -  ..
040919 - Bob's voice sounded strong.  He related feeling better today than at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040920 - anytime since Friday, when he arrived at Mission View, indicating he                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040921 - is recovering from knee surgery, and possibly recovering from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040922 - infection.  Continued elevated temperature however could signal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040923 - infection has not been totally resolved, and that Bob is not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
040924 - responding to treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
040925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040926 -            [...below on 111109 1032 at 1819 Bob's voice slurred and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040927 -            barely audible, verify difficult to understand. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040928 -            UW4S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040930 -             ..
040931 -            [111110 1153 Bob's voice again very strong, he speaks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040932 -            clearly and in command. ref SDS 18 859H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
040934 -  ..
040935 - Bob reported that the medical staff notified him this morning that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040936 - rehabilitation of his knee is delayed by infection, and this delay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040937 - will require extending his stay for rehabilitation at Mission View                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040938 - past Thanksgiving, adding several weeks to the current work plan of 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040939 - weeks from 111105, when he arrived at Mission View and was told he                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040940 - needed 2 weeks rehabilitation, reported on 111104 0952. ref SDS 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
040941 - QN9I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040943 -             ..
040944 -            [On 111111 0802 Bob disappointed that Doctor Fow has not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040945 -            returned his call asking about effect of infection on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040946 -            recovering from knee surgery, and requirements to stay at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040947 -            Mission View beyond Thanksgiving. ref SDS 19 4V3I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040949 -             ..
040950 -            [On 111114 0715 Ken, Manager Mission View Physical Therapy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
040951 -            Department reported Bob's rehabilitation is delayed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040952 -            infection; the past few days, he has begun making better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040953 -            progress. ref SDS 20 SA31                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
040955 -  ..
040956 - Bob is concerned that Mission View may be extending his care to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040957 - increase revenues, rather because he needs more care at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040958 - rehabilitation facility.  He's worried about being charged for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040959 - medical services that Medicare does not cover after 2 weeks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
040961 -  ..
040962 - Bob wants to get a 2nd opinion from Doctor Fow on necessity for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040963 - extending Bob's rehabilitation several weeks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040966 -  ..
0410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0412 - 1819                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041301 - Called Bob using the Mission View phone number, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041302 - L45H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041304 -  ..
041305 - Bob's voice was somewhat slurred at the start of the call.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
041307 -  ..
041308 - He talked to Doctor Fow today and asked him if it is necessary to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041309 - stay longer than 2 weeks, until past Thanksgiving.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041311 -  ..
041312 - Doctor Fow said he would investigate and call Bob back later today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041314 -  ..
041315 - The doctor did not call back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041317 -            [On 111111 0802 Bob clarified that he did not speak with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
041318 -            Doctor Fow on 111109; he left a message with the Doctor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041319 -            assistant for the doctor to call back; Bob very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
041320 -            disappointed that Doctor Fow has not returned his call                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041321 -            asking about effect of infection on recovering from knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041322 -            surgery, and requirements to stay at Mission View beyond                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041323 -            Thanksgiving. ref SDS 19 4V3I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
041325 -  ..
041326 - Bob plans to call the doctor back tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
041328 -  ..
041329 - Bob said this evening that his knee and leg are swelled.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
041331 -  ..
041332 - Bob also said he feels better now that earlier in his stay at Mission                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041333 - View.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041335 -  ..
041336 - During the call, Bob's voice became steadily more slurred and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041337 - difficult to understand.  He began repeating himself to ensure clarity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041338 - in communication.  This is significantly degraded from this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041339 - when he sounded good, per above. ref SDS 0 U489                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041341 -            [111110 1153 Bob's voice again very strong, he speaks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041342 -            clearly and in command. ref SDS 18 859H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
041343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
0414 -