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


S U M M A R Y


DIARY: November 3, 2013 05:39 PM Sunday; Rod Welch

VA meeting schedule SF Medical Center consult clinical trial cholesterol.

1...Summary/Objective
2...Hyperlipidemia Not Controlled Cholesterol Elevated Despite Exercise
3...Cholesterol Elevated Despite Exercise Discuss Clinical Trial
4...Clinical Trial Considered Lower Cholesterol Without Statin Drugs


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CONTACTS 

SUBJECTS
VA Schedule Meeting SF Medical Center 131121 1000 Cholesterol Hyperl                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
3903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3903 -    ..
3904 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
3905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
390501 - Follow up ref SDS 32 0000. ref SDS 28 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
390502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
390503 - Meeting scheduled 131121 1000 to review clinical trials for lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
390504 - cholesterol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
390505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
390506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
390507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
390508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
390510 -  ..
3906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3908 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
391001 - Hyperlipidemia Not Controlled Cholesterol Elevated Despite Exercise                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
391002 - Cholesterol Elevated Despite Exercise Discuss Clinical Trial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
391003 - Clinical Trial Considered Lower Cholesterol Without Statin Drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
391004 - 
391005 - Follow up ref SDS 32 VY6H, ref SDS 28 D95H.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
391006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
391007 - Lab on 131015, showing cholesterol remained high, 131015 0724,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
391008 - ref SDS 30 BE6O, conflict with increased exercise and weight loss,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
391009 - discussed in the letter to the medical team yesterday on 131016 1632.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
391010 - ref SDS 31 IW57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
391012 -  ..
391013 - On 131017 1000 VA medical chart Progress Notes assessment report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
391014 - patient status CAD stable, asymptomatic. hyperlipidemia not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
391015 - controlled. ref SDS 32 T24N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
391017 -  ..
391018 - On 131017 1000 Doctor Egan proposed referring patient for clinical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
391019 - trial to reduce cholesterol with new "targeted" drugs. ref SDS 32 179N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
391021 -  ..
391022 - On 131017 1000 VA medical chart Progress Notes assessment report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
391023 - patient status hyperlipidemia not controlled, ref SDS 32 PSXT; Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
391024 - Egan makes referral to SF VA Medical Center for consult on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
391025 - participation clinical trials, ref SDS 32 EU9F, with experimental                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
391026 - agents such as AMG 145 and REGN 727 to resolve multiple statin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
391027 - intolerances. ref SDS 32 CN4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
391029 -  ..
391030 - Today, received letter from VA saying...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
391031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
391032 -    1.  VA Medical Center                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
391033 -        Outpatient Clinics - 11C4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
391034 -        Module 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
391035 -        4150 Clement Street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
391037 -         ..
391038 -    2.  Date.................................... 2013 October 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
391045 -         ..
391046 -    3.  Subject:  Clinical Trial Targeted Drugs Lower Cholesterol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
391052 -         ..
391053 -    4.  The purpose of this letter is to confirm that you have an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
391054 -        appointment at the San Francisco Veterans Affairs Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
391055 -        Center, 4150 Clement Street.  Please arrive at least 30 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
391056 -        before your scheduled appointment time in order to complete any                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
391057 -        registration or means test paper work that may be required.  We                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
391058 -        are no longer able to check you into if you have an expired                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
391059 -        Means Test.  Your appointment is...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
391060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
391061 -            Thursday November 21, 2013 1000 METAB-FELLOW-THRUSDAY Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
391063 -         ..
391064 -    5.  On the date of your appointment, Please report to Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
391065 -        Building 200, Ground Floor Module 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
391067 -  ..
391068 - This schedule to meet on 131121 1000, implements Doctor Egan's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
391069 - referral, reported on 131017 1000, ref SDS 32 179N, and shown in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
391070 - medical chart Progress Notes. ref SDS 32 EU9F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
391072 -  ..
391073 - SFVA letter continues...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
391074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
391075 -    6.  If you are unable to keep this appointment, please call 415 750                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
391076 -        2279 and leave a message with your name, last four digits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
391077 -        your social security number, and appointment you are not able                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
391078 -        to keep.  Also, if you need to make a new appointment, leave a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
391079 -        phone number where you can be reached to reschedule.  You may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
391080 -        leave a message 24 hours a day / seven days a week.  If you                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
391081 -        have other questions, you may also contact us at 415 379 5672                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
391082 -        during during regular business hours Monday through Friday 0800                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
391083 -        to 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
391085 -         ..
391086 -    7.  For your convenience, we have established clearly marked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
391087 -        patient-visitor parking areas.  Because we do have limited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
391088 -        parking, you may choose to take public transportation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
391090 -         ..
391091 -    8.  We want to remind you that in the interest of good health, this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
391092 -        medical center is a no smoking facility.  All buildings and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
391093 -        entrances/exits to the medical center are designated as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
391094 -        smoke-free areas.  Your cooperation in complying with these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
391095 -        changes in the some-free environment policy is most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
391096 -        appreciated.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
391098 -         ..
391099 -    9.  Thank you and we look forward to assisting you with your                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
391100 -        medical care.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
391101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
391102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
391103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
391104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
391105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
391106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
391107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
391108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
391109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
3912 -