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: April 16, 2014 08:00 AM Wednesday;
Rod Welch
Dental examination and cleaning Graham Dental Offices.
1...Summary/Objective
2...Dental Care Leverages Patient History with Medical Chart
3...Retire End of Year HDL 30 Niacin Poor Response Difficult Side Effects
4...Findings No Remedial Work Performed Nor Recommended
5...Quality Care Survey Applies Efficiencies Electronic Communications
6...Commend Graham Dental Request Medical Chart Align Understandings Patient History
7...Medical Chart Received from Graham Dental Offices
........Next Dental Meeting Oct 21, 2014 0800
........Kathy Periodontal 2nd Opinion Schedule Meeting
8...Periodontal Chart 4 Pockets of 6
..............
Click here to comment!
CONTACTS
SUBJECTS
Dental Examination Cleaning No New Cavities Decay Found 2 Fillings #
6703 -
6703 - ..
6704 - Summary/Objective
6705 -
670501 - Follow up ref SDS 43 0000. ref SDS 42 0000.
670502 -
670503 -
670504 -
670505 - [On 141016 1726 Kathy submitted agenda for meeting on
670506 - 141021 0900 for 2nd opinion on dental condition and
670507 - requirements for implant to repair prior failed implant.
670508 - ref SDS 48 004T
670510 - ..
670511 - [On 141020 1704 letter submits agenda for meeting on
670512 - 141021. ref SDS 49 G34F
670513 -
670514 -
670515 -
670517 - ..
6706 -
6707 -
6708 - Background
6709 -
670901 - On 101108, Lynn scheduled examination and cleaning for today, 110202,
670902 - confirmed in letter. ref SDS 27 HG6P, and following up prior cleaning
670903 - on 100325 0800. ref SDS 23 TL9F
670905 - ..
670906 - Background on prior work is listed on 100514 0730. ref SDS 25 VH5N
670908 - ..
670909 - On 110928 0800 dental examination, cleaning, ref SDS 33 8659, and
670910 - periodontal chart shows good oral hygeine has restored gum health.
670911 - ref SDS 33 6Z3V
670913 - ..
670914 - On 110929 2028 letter from Graham Dental received medical chart
670915 - progress notes, ref SDS 34 VT5I, for work on 110928. ref SDS 33 534L
670917 - ..
670918 - On 110930 2246 letter to Graham Dental submits questions on issues in
670919 - progress notes for work on 110928. ref SDS 35 VT5I
670921 - ..
670922 - On 111022 1923 received and paid invoice for dental services performed
670923 - today on 110928. ref SDS 36 004T
670925 - ..
670926 - On 111025 1928 letter from Lynn at Graham Dental reports medical chart
670927 - progress notes for meeting on 110928 were submitted previously on
670928 - 110929. ref SDS 37 VT5I
670930 - ..
670931 - On 111026 1022 submit letter to Lynn at Graham Dental with questions
670932 - and action items on medical chart and progress notes for meeting
670933 - performing dental examination 110928. ref SDS 38 VT5I
670935 - ..
670936 - On 120404 0800 dental examination, cleaning. ref SDS 39 004T
670938 - ..
670939 - On 120507 1015 paid invoice for dental services on 120404.
670940 - ref SDS 40 004T
670942 - ..
670943 - On 121010 0800 dental examination, cleaning and xrays showing no
670944 - evident progression of decay. ref SDS 41 O75H
670946 - ..
670947 - On 130417 0800 dental examination, cleaning, defer fillings recover
670948 - from cavity past 18 months on tooth #13, and defer treatment new
670949 - cavity reported on #9; evaluate in 6 months. ref SDS 42 DQ90
670951 - ..
670952 - On 131016 Doctor David Graham performed teeth cleaning and
670953 - examination; no new cavity issues presented. ref SDS 43 OT6G Xrays
670954 - scheduled in 6 months, along with repair slight cavity on #9 for
670955 - approximate cost $40, absent complications. ref SDS 43 ES7M
670956 - Periodontal examination found improvement with reduced pockets,
670957 - attributed to using electric toothbrush, recommended previously by
670958 - Graham Dental. ref SDS 43 MY4I Rising pockets in back teeth,
670959 - ref SDS 43 RV5N, requires resuming use of dental pick to clean gums on
670960 - back teeth. ref SDS 43 P36J Scheduled next meeting on 140416 0800.
670961 - ref SDS 43 ES7G Received Progress Notes that support doctor/patient
670962 - partnership for following up critical issues. ref SDS 43 LB6N
670964 - ..
670965 - On 140410 0910 received letter from Graham Dental requesting feedback
670966 - to confirm meeting on 140416 0800. ref SDS 45 004T Sent letter
670967 - confirming next meeting, and agenda. ref SDS 45 FX5L
670968 -
670969 -
670971 - ..
6710 -
6711 -
6712 - Progress
6713 -
671301 - Dental Care Leverages Patient History with Medical Chart
671302 -
671303 - Follow up ref SDS 43 004T, ref SDS 42 004T.
671304 -
671305 - Meeting today was scheduled by the medical chart received with Doctor
671306 - Mark Graham's letter on 131016 0800. ref SDS 43 QB55
671308 - ..
671309 - Agenda was submitted on 140410 0910. ref SDS 45 FX5L
671311 - ..
671312 - Scheduled next meeting in October 21, 2014 0800. ref SDS 0 6Z6Q
671314 - ..
671315 - Initially, xrays were taken today.
671316 -
671317 - [...below on 140416 0800 at 1800 letter to Doctor Graham
671318 - requests submission of xrays. ref SDS 0 2W63
671319 -
671320 - [...below on 140416 0800 at 1800 Doctor Graham letter
671321 - submits xrays taken today. ref SDS 0 L75G
671323 - ..
671324 - [...below on 140416 Xrays taken today are listed in the
671325 - record showing where the files are stored for immediate
671326 - access. ref SDS 0 TF5N
671327 -
671329 - ..
671330 - Doctor David Graham did the cleaning today. Excellent work.
671331 -
671332 - [On 140523 1953 paid $229 for dental services. ref SDS 46
671333 - EI8F
671334 -
671335 - [On 141021 0800 dental services with Doctor Graham.
671336 - ref SDS 50 004T
671338 - ..
671339 - [On 141021 0900 Graham dental services for Kathy 2nd
671340 - opinion examination. ref SDS 51 004T
671341 -
671342 -
671343 -
671345 - ..
671346 - David mentioned several times today, that teeth/mouth seem very
671347 - clean.
671348 -
671349 - [...below on 140416 0800 received Progress Notes commenting
671350 - on dental cleaning. ref SDS 0 Q867
671352 - ..
671353 - During the prior meeting on 131016, the doctor examined tooth #13 and
671354 - #9. He indicated #13 does not show evidence of decay, and so no
671355 - filling is needed, ref SDS 43 ES7M, clarifying earlier analysis on
671356 - 130417 0800. ref SDS 42 DQ90 Tooth #9 was reported finding slight
671357 - decay, but does not show up in an xray, so no xrays were taken to
671358 - evaluate scope of decay. David quoted about $40 to repair minor decay
671359 - on tooth #9. He said the dental office allocated time during the
671360 - meeting on 131016, to perform the filling on #9, or do teeth cleaning,
671361 - but not both. At that time, on 131016, decided to do cleaning, and
671362 - defer filling on #9. ref SDS 43 ES8N
671364 - ..
671365 - Today, the doctor asked about history of tooth #9 seeming to be
671366 - "dead."
671368 - ..
671369 - Related about 60 years ago, in the 4th grade Robby hit me under the
671370 - chin. It was a curious incident, that occurred the last day of school
671371 - at Collins Elementary in Cupertino. This was about 1955, without
671372 - provocation, nor warning. He then ran home, then on Dunbar street in
671373 - Garden Gate. There was no evident damage. Two years later, I
671374 - returned to Collins, after a year at Doyle Elementary, when we lived
671375 - in Rancho Rinconada. Our family had moved to Glenco Street in Garden
671376 - Gate, located down the street from Rob, his mother and sister on
671377 - Dunbar. We became friends; our parents met and married, and so we
671378 - were brothers.
671380 - ..
671381 - Today, David indicated that getting hit under the chin could have a
671382 - lasting effect causing tooth #9 to have deadened.
671384 - ..
671385 - Previously, Graham Dental commented that xrays taken during the
671386 - meeting on 090302, indicated tooth #7 or #8 were dead. ref SDS 14 0336
671388 - ..
671389 - The doctor performed several tests today, on #9 and the adjacent tooth
671390 - #8, which indicated #9 may be "dead."
671392 - ..
671393 - The doctor checked pockets, planned in the agenda, reported on 140410
671394 - 0910. ref SDS 45 0Y7V
671396 - ..
671397 - At the onset of this part of the work, commented to the doctor that
671398 - examination will show if the Patient is referred to the "Dean's
671399 - Office," referencing David's Progress Notes on 131016 0800.
671400 - ref SDS 43 LB81
671402 - ..
671403 - Several 6s were found again. Some former 6s had improved to 4s and
671404 - 5s, see perio chart, received with Progress Notes, shown below.
671405 - ref SDS 0 6Z3V
671407 - ..
671408 - David was pleased his advice to use a dental pick to floss has been
671409 - effective reducing pockets, and preventing increase in dental pockets,
671410 - planned in the prior meeting on 131016 0800. ref SDS 43 MY4I
671412 - ..
671413 - After completing cleaning function, David did a small filling on tooth
671414 - #9, planned in the meeting on 131016 0800. ref SDS 43 1T8L This did
671415 - not require novicane. There was no pain during this this work.
671417 - ..
671418 - David said there is another small cavity on an adjacent tooth, so he
671419 - did a filling on it as well. The tooth # was not mentioned.
671420 -
671421 - [...below Progress Notes do not report performing 2 cavity
671422 - repairs. ref SDS 0 II6N
671424 - ..
671425 - This work seemed to take about 10 minutes, also, explained below.
671426 - ref SDS 0 AK4I
671427 -
671428 -
671429 -
6715 -
SUBJECTS
Default Null Subject Account for Blank Record
6803 -
680401 - ..
680402 - Retire End of Year HDL 30 Niacin Poor Response Difficult Side Effects
680403 -
680404 - David is still planning to retire end of this year. He will continue
680405 - teaching 2 days a week at UCSF.
680407 - ..
680408 - During the meeting on 131014, David reported he has been diagnosed
680409 - with 100% clogged artery that cannot be repaired with stent. At this
680410 - time, his doctor diagnoses that David does not need heart bypass
680411 - surgery (CABG), because surrounding capilaries have expanded
680412 - sufficiently to provide alternative routes to maintain sufficient
680413 - blood supply.
680415 - ..
680416 - Today, discussed briefly, research indicating that atherosclerosis
680417 - plaque can regress by increasing HDL, reported on
680419 - ..
680420 - David seemed to indicate his HDL is about 30. He has tried niacin.
680421 - It was not effective, and side effects were difficult.
680423 - ..
680424 - Mentioned experience increasing HDL 20% to 61, reported in lab on
680425 - 140203 1147. ref SDS 44 5C7M
680426 -
680427 -
680428 -
680429 -
680430 -
680432 - ..
680433 - Findings No Remedial Work Performed Nor Recommended
680434 -
680435 - Follow up ref SDS 43 OT6G, ref SDS 42 8659.
680436 -
680437 - David reported finding...
680438 -
680439 - 1. Moderate to severe gum bleeding still occuring from back teeth
680440 - on both left and right sides occurring when cleaning the teeth
680441 - with a dental pick. David showed gauze blotted with blood on
680442 - the right side. Could also taste blood from the cleaning
680443 - process. Exact location was not clear during the meeting
680444 - though David said back teeth on both sides are involved. David
680445 - will list affected areas in the medical chart. Report today of
680446 - moderate to severe bleeding gums during teeth cleaning aligns
680447 - with Tanya's finding during the prior meeting on 110202 0800.
680448 - ref SDS 29 8659 Mark further stated that the medical chart
680449 - for his work on 100325, also, shows findings of moderate to
680450 - severe gum bleeding. There is nothing in the record on 100325
680451 - indicating examination found bleeding gums at that time.
680452 - ref SDS 23 SW86
680453 -
680454 - [...below letter to Graham Dental requests medical chart to
680455 - complete analysis of work today. ref SDS 0 TN5F
680457 - ..
680458 - Explained finding moderate and severe bleeding gums today
680459 - during cleaning with sharp metal dental pick aligns with
680460 - patient history the past 25 years, showing no evidence of
680461 - bleeding gums (by taste nor observation) from routine daily
680462 - activity, including eating and brushing, previously reported on
680463 - 110202 0800. ref SDS 29 UD5J
680465 - ..
680466 - [...below medical chart Perio summary examination lists
680467 - bleeding teeth and sites = 0. ref SDS 0 XO5H
680469 - ..
680470 - 2. Tissue fraying from the inside the mouth was not found today,
680471 - which Tana previously attributed to tooth paste with
680472 - ingredients harmful to some people, and reported during the
680473 - prior meeting on 110202 0800. ref SDS 29 AW4O
680475 - ..
680476 - This aligns with change to toothpaste without whitening agent,
680477 - recommended on 110202 0800, ref SDS 29 AW4O, cited in Progress
680478 - Notes on follow up dental examination on 110928, finding #2
680479 - reports evidence of injury using harmful toothpaste, and work
680480 - plan for switching to another brand. ref SDS 33 6Z3F
680482 - ..
680483 - 3. David repaired 2 very small cavities seemingly on front upper
680484 - teeth near gum line, possibly #13 and #9, which have been
680485 - discussed during prior meetings, most recently on 131016 0800.
680486 - ref SDS 43 ES7M This work took about 10 minutes, also
680487 - explained above. ref SDS 0 PR7K
680488 -
680489 - [...below Progress Notes do not report performing 2 cavity
680490 - repairs. ref SDS 0 II6N
680492 - ..
680493 - 4. No other remedial care was performed nor recommended. David
680494 - commented several times during the examination today that teeth
680495 - and mouth seem very clean showing evidence of better home
680496 - care, implementing prior guidance on
680497 -
680498 - [...below Progress Notes report "Improvement in home care"
680499 - showing response to dental guidance. ref SDS 0 Q867
680501 - ..
680502 - David will submit medical chart to cross check understandings from
680503 - work today.
680504 -
680505 -
680506 -
680507 -
680509 - ..
6806 -
6807 -
6808 - 140417 1104
6809 -
680901 - Quality Care Survey Applies Efficiencies Electronic Communications
680902 -
680903 - Follow up ref SDS 43 P55M, ref SDS 42 P55M.
680904 -
680905 - Next day, received letter from Graham Dental Offices....
680906 -
680907 - 1. Subject: How was your experience at David and Mark Graham, DDS?
680908 - Date: 2014-04-17 05:11
680915 - ..
680916 - 2. Thank you for visiting us at David and Mark Graham, DDS. We
680917 - appreciate your business and value you as a patient. To help
680918 - us continue our high quality of service, we invite you to click
680919 - here to submit a review and take a brief survey.
680920 -
680921 - https://www.demandforce.com/e/review?d3cp_key=2431246F6E64656D616E64244F4335684A637A4B36624D494E37516E397A51396931&d3cp_query=6DA0433A9D4C823E4E241BEF2631AC11E0299D4250E2E4389C2CAB57A5C19DEE0B64129D2ABA9D31D07FB8FD3B88A281A1782DD6822ACA04252A68FA10A5FA5630878718D0DE7EFFE13C62576996ACCE524B14BF6B53614E1C1B14AE4D11DA973C40969A4B441148DF68B7A749EDA0DB6DBE3F1F05C5FC44430A4FFAD964125336979D0D1995F120894E826315FE626CD44E98E43B4F0AE47BE7558385153BA4212AE801E818E17ACEE2A07D735 5736E6B5B3976B27E1947E7938650EF4B8854E7C17F2B5D7
680923 - ..
680924 - Clicked on above link in Graham Dental's letter. This opened an
680925 - Internet address for only the first part of the demandforced3.com url.
680926 - As a result, could not perform the survey and provide feedback.
680928 - ..
680929 - Letter from Graham Dental Office continues...
680930 -
680931 - We look forward to seeing you at your next appointment.
680933 - ..
680934 - Sincerely,
680935 -
680944 -
680945 - Copyright 2009. Demandforce, Inc. www.demandforce.com
680947 - ..
680948 - To remove yourself from future mailings, please visit this website:
680949 -
680950 - https://www.demandforce.com/b/home/unsubscribe.jsp?d3cp_key=2431246F6E64656D616E64244F4335684A637A4B36624D494E37516E397A51396931&d3cp_query=6DA0433A9D4C823E4E241BEF2631AC11E0299D4250E2E4389C2CAB57A5C19DEE0B64129D2ABA9D31D07FB8FD3B88A281A1782DD6822ACA04252A68FA10A5FA5630878718D0DE7EFFE13C62576996ACCE524B14BF6B53614E1C1B14AE4D11DA973C40969A4B441148DF68B7A749EDA0DB6DBE3F1F05C5FC44430A4FFAD964125336979D0D1995F120894E826315FE626CD44E98E43B4F0AE47BE7558385153BA4212AE801E818E 17AC7D73557367004DE6B5B3976B27E1947E7938650EF4B8854E7C17F2B5D7
680951 -
680952 -
680953 -
680955 - ..
6810 -
6811 -
6812 - 140417 1157
6813 -
681301 - Commend Graham Dental Request Medical Chart Align Understandings Patient History
681302 -
681303 - Follow up ref SDS 43 TN5F, ref SDS 42 TN5F.
681304 -
681305 - Letter to Graham Dental Offices...
681306 -
681307 - 1. Subject: Progress notes on meeting today
681308 - Date: 2014-04-16 12:14
681316 - ..
681317 - 2. Please submit Progress notes, updated perio chart and xrays for
681318 - the work this morning; and, set out the date and time for next
681319 - meeting in October, as done previously shown by the Graham
681320 - letter on 131016, see below.
681322 - ..
681323 - Responds to David's letter received earlier today, per above.
681324 - ref SDS 0 P55M
681325 -
681326 - [...below on 140416 Xrays taken today are listed in the
681327 - record showing where the files are stored for immediate
681328 - access. ref SDS 0 TF5N
681330 - ..
681331 - 3. As we discussed, can we schedule examination for 2nd opinion on
681332 - getting an implant or other remedial work for patient (my
681333 - sister-in-law, Kathy) to recover from damage caused by smoking?
681334 - Your 2nd opinion in my case was very helpful, as shown on
681335 - 090302. ref SDS 14 0001
681337 - ..
681338 - 4. Additionally, Richard Popejoy is now a resident at...
681339 -
681340 - Gramacy Court Care Facilities
681341 - 2200 Gramercy Dr
681342 - Sacramento, CA 95825
681343 - 916) 482-2200
681345 - ..
681346 - 5. Richard is in room 618a; his direct number is 916 482 5784
681348 - ..
681349 - 6. Unfortunately, this number does not work well for long calls.
681350 - After a few minutes static seems to pick up. He would be
681351 - thrilled to get a call. Of course a visit would be terrific.
681353 - ..
681354 - 7. Thanks very much for good care. Pleased with findings today
681355 - that quasi-flossing effort has yielded some favorable results.
681357 - ..
681358 - 8. Look forward to getting the record.
681359 -
681365 -
681366 -
681367 -
681368 -
681369 -
681370 -
6814 -
SUBJECTS
Default Null Subject Account for Blank Record
6903 -
690401 - ..
690402 - Medical Chart Received from Graham Dental Offices
690403 -
690404 - Follow up ref SDS 43 534L, ref SDS 42 534L.
690405 -
690406 - Medical chart pending...
690407 -
690408 - [...above letter to Graham Dental requests medical chart to
690409 - complete analysis of work today. ref SDS 0 TN5F
690411 - ..
690412 - Medical chart received the next day.
690414 - ..
690415 - This document is one paragraph of single spaced text, similar to 2nd
690416 - opinion prepared by Doctor Benz received from UCSF on 041117 1015.
690417 - ref SDS 8 6L9O, and which comprised 7 pages of single spaced text
690418 - without paragraphs. ref SDS 8 4P6G
690420 - ..
690421 - Accordingly, as with the UCSF report, segmented Graham Dental medical
690422 - chart into paragraphs for contextual framing...
690424 - ..
690425 - Graham Dental Medical Chart for work on 140416 shows...
690426 -
690427 - 1. Subject: Re: Progress notes on meeting today
690428 - Date: 2014-04-17 09:39
690432 - ..
690433 - 2. 4-16-2014 : exam for caries and oral cancer within normal
690434 - limits. 4 bitewing x-rays taken. ref SDS 0 TF5N
690436 - ..
690437 - This responds to the letter requesting medical records, including
690438 - xrays, per above. ref SDS 0 2W63
690439 -
690440 -
690441 - [...below on 140416 Xrays taken today are listed in the
690442 - record showing where the files are stored for immediate
690443 - access. ref SDS 0 TF5N
690445 - ..
690446 - Letter from Doctor Graham continues...
690447 -
690448 - 3. updated perio chart with new readings of areas with pockets of
690449 - 5-6 mm. some have improved - none are worse.
690450 -
690451 - [...below on 140416 periodontal chart shows improved
690452 - findings. ref SDS 0 6Z3V
690454 - ..
690455 - 4. Light supra calculus on linguals of lower anteriors.
690457 - ..
690458 - 5. History of #9 being hit as a child. #9 is darker than #8. #9
690459 - tested non-vital to cold and electronic pulp test. #8 tested
690460 - vital at 24 on a scale of 1 to 80.
690462 - ..
690463 - 6. Improvement in home care.
690465 - ..
690466 - David seemed to mention several times during the meeting today, that
690467 - the teeth/mouth are very "clean."
690469 - ..
690470 - Next Dental Meeting Oct 21, 2014 0800
690471 -
690472 - Follow up ref SDS 43 6Z6Q, ref SDS 42 6Z6Q.
690473 -
690474 - 7. 6 month cleaning. patient scheduled Tuesday 10-21-14 at 8a.m.
690475 - for next cleaning.
690476 -
690477 - [On 141020 1704 letter submits agenda for meeting on
690478 - 141021. ref SDS 49 G34F
690479 -
690481 - ..
690482 - Kathy Periodontal 2nd Opinion Schedule Meeting
690483 -
690484 - 8. Rod, please call me to schedule an appointment for your
690485 - sister-in-law, Kathy or Kathy is welcome to call and speak with
690486 - me (Lynne)
690487 -
690488 - [On 141016 1726 Kathy submitted agenda for meeting on
690489 - 141021 0900 for 2nd opinion on dental condition and
690490 - requirements for implant to repair prior failed implant.
690491 - ref SDS 48 004T
690492 -
690510 -
690511 -
690512 -
6906 -
SUBJECTS
Dental Periodontal Partial Examination Electric Toothbrush Improves
A503 -
A50401 - ..
A50402 - Periodontal Chart 4 Pockets of 6
A50403 -
A50404 - Follow up ref SDS 43 MY4I.
A50405 -
A50406 - Partial periodontal charting today found 4 sites depth 6, checking
A50407 - prior findings of 6 pockets with depth of 6, reported on 131016 0800.
A50408 - ref SDS 43 MY4I
A50410 - ..
A50411 - History of periodontal examinations...
A50412 -
A50413 - 140416............. 6s = 4 ........... ref SDS 0 6Z3V
A50414 - 131016............. 6s = 6 ........... ref SDS 43 MY4I
A50415 - 110928............. 6s = 0 ........... ref SDS 33 6Z3V
A50416 - 100325............. 6s = 0 ........... ref SDS 23 SW66
A50417 - 990503............. 6s = 0 ........... ref SDS 7 3750
A50418 - 980330............. 6s = 0 ........... ref SDS 6 1151
A50419 - 970324............. 6s = 0 ........... ref SDS 5 0001
A50420 - 950605............. 6s = 0 ........... ref SDS 4 007U
A50421 - 910218............. 6s = 0 ........... ref SDS 2 0001
A50422 - 880419............. 6s = some......... ref SDS 1 0001
A50424 - ..
A50425 - Progress Notes continue presenting periodontal partial examonation...
A50427 - ..
A50428 - 11. Perio Chart
A50430 - Date................................... 140417 [...report date...]
A50433 - Exam Date.............................. 140416
A50435 - ..
A50436 - Tooth 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
A50437 - MOB
A50438 - PD 4
A50439 - ..
A50440 - GM
A50441 - ..
A50442 - CAL 4
A50443 - MGJ
A50444 - ..
A50445 - BCI 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000
A50446 - +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+
A50447 - |\ /| |\ /| |\ /| | | | | | | | | | | | | | | | | | | | | | | | | |\ /| |\ /| |\ /|
A50448 - FG | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
A50449 - | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
A50450 - +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+
A50451 - Ling 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000
A50452 - ..
A50453 - MOB
A50454 - PD 6 6
A50455 - GM
A50456 - CAL 6 6
A50457 - MGJ
A50458 - ..
A50459 - Tooth 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
A50461 - ..
A50462 - Notes.....
A50463 -
A50464 - 1. Teeth #3 pockets increased from 5 to 6 and 4 remained
A50465 - stable at 6.
A50466 - 2. Tooth #13 pockets improved from 5 to 4.
A50467 - 3. Teeth numbering layout right to left aligns with
A50468 - prior record working with Graham Dental on 090302
A50469 - 0815. ref SDS 14 0336
A50470 -
A50472 - ..
A50473 - Tooth 32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17
A50474 - MOB
A50475 - PD 4 5 5 5
A50476 - ..
A50477 - GM
A50478 - ..
A50479 - CAL 4 5 5 5
A50480 - MGJ
A50481 - ..
A50482 - BCI 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000
A50483 - +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+
A50484 - | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |\ /| |\ /| |\ /|
A50485 - FG |---| |---| |---| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
A50486 - | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
A50487 - +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+
A50488 - Ling 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000
A50490 - ..
A50491 - MOB
A50492 - PD 4 6 6 4
A50493 - GM
A50494 - ..
A50495 - CAL 4 6 6 4
A50496 - MGJ
A50497 - Tooth 32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17
A50499 - ..
A50500 - Notes.....
A50501 -
A50502 - 1. Tooth #31 pockets 6 improved to 4
A50503 - 2. Tooth #31 pockets 5 improved to 4
A50504 - 3. Tooth #30 pockets 6 improved to 5
A50505 - 4. Tooth #30 pockets 5 worsened to 6
A50506 - 5. Tooth #19 pockets 6 improved to 5
A50507 - 6. Tooth #19 pockets 6 remained stable at 6
A50508 - 7. Tooth #18 pockets 6 improved to 5
A50509 - 8. Tooth #18 pockets 6 improved to 4
A50511 - ..
A50512 - PERIO Chart continues...
A50513 -
A50514 - Summary Information
A50515 -
A50516 - 1. Date........................................ 140416
A50517 - 2. Bleeding
A50518 - Teeth....................................... 0
A50519 - Sites....................................... 0
A50521 - ..
A50522 - Periodontal examination finding both "Bleeding teeth" and "sites" = 0
A50523 - aligns with report today of no bleeding gums caused by cleaning teeth
A50524 - with metal dental pick, and further aligns with daily activity,
A50525 - including eating and vigorous brushing for past 15 years, per above.
A50526 - ref SDS 0 KU68, and perviously on 110928 0800. ref SDS 33 KU68
A50528 - ..
A50529 - PERIO Chart Summary continues...
A50530 -
A50531 - 3. Suppuration
A50532 - Teeth....................................... 0
A50533 - Sites....................................... 0
A50535 - ..
A50536 - 4. Furcation
A50537 - Teeth....................................... 0
A50538 - Sites....................................... 0
A50540 - ..
A50541 - 5. Mobility
A50542 - Teeth....................................... 0
A50544 - ..
A50545 - 6. PD > Alert
A50546 - Teeth....................................... 5
A50547 - Sites....................................... 7
A50549 - ..
A50550 - PD alert #3, 4, 30, 19, 18 make 5 teeth with pockets over 4.
A50552 - ..
A50553 - Not sure how sites are calculated.
A50555 - ..
A50556 - Periodontal Examination continues...
A50557 -
A50558 - 7. CAL < 0
A50559 - Teeth....................................... 0
A50560 - Sites....................................... 0
A50562 - ..
A50563 - 8. CAL 1-3
A50564 - Teeth....................................... 0
A50565 - Sites....................................... 0
A50567 - ..
A50568 - 9. CAL 4-5
A50569 - Teeth....................................... 5
A50570 - Sites....................................... 7
A50572 - ..
A50573 - 10. CAL 6+
A50574 - Teeth....................................... 4
A50575 - Sites....................................... 4
A50576 -
A50578 - ..
A50579 - Xrays taken today stored in...
A50580 -
A50581 - 
A50582 -
A50583 - 
A50584 -
A50585 - 
A50586 -
A50587 - 
A50588 -
A50590 - ..
A50591 - During the meeting, Doctor Graham pointed to an xray and seemed to
A50592 - comment an indication of cavity. This is not evident in xrays.
A50594 - ..
A50595 - Need professional clafification.
A50596 -
A50597 -
A50598 -
A50599 -
A50600 -
A50601 -
A50602 -
A50603 -
A50604 -
A50605 -