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: May 13, 2015 04:03 PM Wednesday; Rod Welch

Dental periodontal 2nd opinion called Doctor Jack Taggart Offices.

1...Summary/Objective
2...Case Study Periodontal History


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CONTACTS 

SUBJECTS
Dental Periodontal Examination Back Teeth Reduced Pockets #3 6 #4 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
3503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3503 -    ..
3504 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
3505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
350501 - Follow up ref SDS 21 0000, ref SDS 20 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
350502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
350503 - Inquired with Doctor Taggart's office for review of conflicting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
350504 - peridontal charting. ref SDS 0 IW5I  Marsha suggested submitting a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
350505 - letter with request and background to Doctor Taggart. ref SDS 0 YF6M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
350506 - Developed case study on periodontal history. ref SDS 0 HG7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
350507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
350508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
350509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
350511 -  ..
3506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3508 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
350901 - Called Doctor Jack Taggart's office in San Francisco...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
350902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
350903 -        Dr Edward J Taggart Jr, DDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
350904 -        450 Sutter St Rm 2329                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
350905 -        San Francisco, CA 94108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
350906 -        (415) 397-4095 (Office)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
350907 -        periodds2005@comcast.net                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
350908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
350909 -              http://www.healthgrades.com/dentist/dr-edward-taggart-y5wc2/appointment#AppointmentsContactInformation_anchor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
350911 -  ..
350912 - Website says the doctor is now 73.  Great to see him still on the job                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
350913 - providing excellent periodontal services.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
350915 -  ..
350916 - Talked to Marsha.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
350918 -  ..
350919 - Would like Doctor Taggart's opinion on conflicting periodontal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
350920 - charting, shown in the record on 150505 1600. ref SDS 21 5T7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
350921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
350922 -            [On 150517 1431 submitted letter requesting consultation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
350923 -            variance in periodontal charting. ref SDS 23 7R61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
350925 -  ..
350926 - Currently working with Doctor David Graham, beginning in March 2009,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
350927 - recommended by Doctor Richard Popejoy, a friend from high school, who                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
350928 - attended UCSF Dental College with David in the late 1960s.  In 1986,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
350929 - Richard recommended Doctor Taggart for deep cleaning of severe gum                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
350930 - pockets > 8.  Doctor Taggart did excellent work that yielded improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
350931 - periodontal health with maximum pockets 6 mm, reported 2 years later                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
350932 - on 880419 0930. ref SDS 1 0001  Decades later in 2009, Richard                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
350933 - recommended Doctor David Graham located in San Ramone, for 2nd opinion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
350934 - for an implant on #2, reported on 090302 0815. ref SDS 10 0001  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
350935 - work was done by Steve Olsen's office in the Embarcaderro Center, San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
350936 - Francisco.  After moving from San Francisco to Concord, switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
350937 - dentists to Graham in 2010.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
350939 -  ..
350940 - Doctor David Graham retired at the end of last year.  On 150422,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
350941 - dental examination including periodontal charting performed by Graham                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
350942 - Dental offices raised questions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
350944 -  ..
350945 - Last week on 150505, periodontal 2nd opinion needs reconciliation of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
350946 - significant variance from charting 10 days earlier by Graham Dental                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
350947 - Offices. ref SDS 21 OV87 and ref SDS 21 VI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
350949 -  ..
350950 - Marsha said to send a letter to Doctor Taggart explaining objectives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
350951 - and background.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
350952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
350953 -            [On 150517 1431 submitted letter requesting consultation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
350954 -            variance in periodontal charting. ref SDS 23 7R61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
350955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
350956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
350958 -  ..
350959 - Case Study Periodontal History                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
350960 - 
350961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
350962 -    1.  Doctor Taggart completes 2 year periodontal deep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
350963 -        cleaning, reports former pockets near 9 improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
350964 -        to few 6s; most readings now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
350965 -        below 4....................................... 880419 0930, ref SDS 1 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
350967 -         ..
350968 -    2.  Periodontal exam at Doctor Steve Olsen's office                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
350969 -        found 2 5's, 4 or 5 4's and all the rest 2's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
350970 -        and 3's shows continuing improvement from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
350971 -        prior deep cleaning by Doctor Taggart......... 910218 1130, ref SDS 2 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
350973 -         ..
350974 -    3.  Periodontal exam Doctor Kashani at Olsen's office                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
350975 -        gums are in good shape found 2 - 4 5s, 20% - 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
350976 -        were 4s, and the rest were 2s and 3s; one                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
350977 -        tooth mild bleeding........................... 950605 0915, ref SDS 3 007U                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
350979 -         ..
350980 -    4.  Follow up exam found tooth that appeared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
350981 -        problematic on 950605, shows improvement;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
350982 -        plan another review in a year................. 950710 1015, ref SDS 4 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
350984 -         ..
350985 -    5.  Periodontal exam tooth problematic on 950710,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
350986 -        now seems okay; overall slight increase in gum                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
350987 -        wear, but not enough to warrant corrective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
350988 -        action........................................ 970324 1430, ref SDS 5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
350990 -         ..
350991 -    6.  Doctor Kashani found #3 shows bone recession;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
350992 -        no change from year ago based on xrays; same                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
350993 -        pocket depth 5; pocket depth of other teeth                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
350994 -        also unchanged from last year; #24 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
350995 -        gum loss; #11 may need repair................. 980330 1400, ref SDS 7 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
350997 -         ..
350998 -    7.  Doctor Kashani found #3 measures 3 3 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
350999 -        improved from 5 last year; #11 and #14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
351000 -        show recommended care was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
351001 -        performed..................................... 990503 1530, ref SDS 8 OM7S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
351003 -         ..
351004 -    8.  Doctor Steve Olsen suggested in 18 months need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
351005 -        periodontal examination; did not find evident                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
351006 -        gum problems; no bleeding gums or other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
351007 -        discomfort.................................... 001212 1500, ref SDS 9 E49K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
351009 -         ..
351010 -    9.  Doctor David Graham's office - Doctor Mark                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
351011 -        Graham performed periodontal gum pocket                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
351012 -        examination - showed 2 - 4 teeth measured 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
351013 -        and all the rest measured                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
351014 -        below 4....................................... 100325 0800, ref SDS 11 SW66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
351016 -         ..
351017 -   10.  Dental hygenist reports during routine teeth                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
351018 -        cleaning new finding of moderate to severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
351019 -        gum bleeding in back teeth.................... 110202 0800, ref SDS 12 8659                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
351020 -        conflicts patient history no signs bleeding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
351021 -        gums brushing teeth since periodontal care                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
351022 -        by Doctor Taggart completed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
351023 -        880419........................................ 110202 0800, ref SDS 12 UD5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
351024 -        Doctor David Graham advised that patient's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
351025 -        teeth look very good.......................... 110202 0800, ref SDS 12 O764                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
351026 -        Doctor Graham reported having a tooth with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
351027 -        pocket of 6 for several years and has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
351028 -        had no problems............................... 110202 0800, ref SDS 12 YC5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
351030 -         ..
351031 -   11.  Periodontal chart Doctor Graham's office upper                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
351032 -        teeth #3 and #15 show 5s on inside (Ling); all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
351033 -        other teeth less than 5; seems like good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
351034 -        periodontal health............................ 110928 0800, ref SDS 13 6Z3V                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
351035 -        Lower teeth show all gum pockets measure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
351036 -        less than 5................................... 110928 0800, ref SDS 13 IO9G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
351038 -         ..
351039 -   12.  Periodontal chart Doctor Graham's office report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
351040 -        patient switched to electric toothbrush; periodontal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
351041 -        health seemingly declined; upper teeth outside #13 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
351042 -        all others less than 5; upper teeth inside                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
351043 -        (Ling) inside #3 5, #4 6, all other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
351044 -        teeth less than 5............................. 131016 0800, ref SDS 17 MY4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
351045 -        lower teeth outside #31 6, #30 6, #19 6,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
351046 -        #18 6, all others less than 5................. 131016 0800, ref SDS 17 IO9G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
351048 -         ..
351049 -   13.  Periodontal chart Doctor Graham's office                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
351050 -        partial re-check specific teeth and reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
351051 -        some improvement - upper teeth outside #13 4;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
351052 -        inside #3 6 and #4 6 - no other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
351053 -        teeth reported................................ 140416 0800, ref SDS 18 6Z3V                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
351054 -        lower teeth outside #31 4, #30 5, #19 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
351055 -        #18 5; inside #31 4, #30 6,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
351056 -        #19 6, #18 4.................................. 140416 0800, ref SDS 18 IO9G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
351058 -         ..
351059 -   14.  Periodontal examination Doctor Graham's office                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
351060 -        upper teeth outside #13 6 #14 5 #15 5 all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
351061 -        other teeth below 5; upper teeth inside #14 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
351062 -        all other teeth below 5....................... 150422 0800, ref SDS 19 5B9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
351063 -        lower teeth outside #18 6 #19 6 all other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
351064 -        teeth below 5; inside (ling) all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
351065 -        below 5....................................... 150422 0800, ref SDS 19 IO9G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
351066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
351067 -   15.  2nd opinion periodontal examination Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
351068 -        Grosso's office upper teeth outside #3 5 #4 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
351069 -        #13 6 all other teeth below 5; inside #3 6 #4 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
351070 -        #5 5 #13 6 #15 5 all others                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
351071 -        below 5....................................... 150505 1600, ref SDS 21 3U8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
351072 -        lower teeth outside #18 5 #19 5 #30 5 all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
351073 -        others below 5; inside (ling) #18 5 #19 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
351074 -        #26 5 #29 5 #30 5............................. 150505 1600, ref SDS 21 IO9G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
351076 -         ..
351077 -   16.  Submitted this case study to Doctor Taggart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
351078 -        in a letter for comment on charting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
351079 -        variances..................................... 150517 1431, ref SDS 22 7S5X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
351080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
351081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
351082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
351083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
351084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
351085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
351086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
351087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
351088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
351089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
351090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
351091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
3511 -