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: December 8, 2016 10:39 PM Thursday; Rod Welch

VA letter to Director Stockwell commend GI Clinic VA Medical Center Sacramento.

1...Summary/Objective


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CONTACTS 

SUBJECTS
VA EGD Procedure Stricture Lower Esophageal Sphincter Valve LESV 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
2503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
2503 -    ..
2504 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
2505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
250501 - Follow up ref SDS K4 0000. ref SDS K1 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
250502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250504 -            [On 161209 1011 received letter from Stockwell reporting he                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
250505 -            appreciated notice of good care at VA. ref SDS K6 918K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
250506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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250510 -  ..
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2508 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
2509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
250901 - Received letter from Jessica with address for the director of the VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
250902 - Medical Center in Sacramento, reported on 161207 1018. ref SDS K5 4L4X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
250903 - Also, received letter from Paul with email address for the director,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
250904 - reported on 161207 1018. ref SDS K5 HK8K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
250906 -  ..
250907 - Letter to Director Stockwell at VA Medical Center in Sacramento                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250908 - saying...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
250909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250910 -    1.  Subject:  VA Medical Center Sacramento Outstanding GI Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
250911 -        Date:  2016-12-08 23:26                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
250924 -         ..
250925 -    2.  Dear Mr. Stockwell:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
250927 -         ..
250928 -    3.  Very pleased to add my voice to many who know and appreciate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
250929 -        your outstanding work as Director leading the VA Medical Center                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
250930 -        in Sacramento.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
250932 -         ..
250933 -    4.  I get most of my care at the Medical Center in San Francisco.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
250934 -        On Sep 19, it was a pleasure to thank the medical team for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
250935 -        exceptional care on difficult, complex issues, 160919 0257,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
250936 -        ref SDS I6 R66J, that required persistent, timely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
250937 -        collaboration, shown in the letter below. ref SDS I6 LU31                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
250938 -        Doctor Lee is cited treating achalasia in the GI Clinic at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
250939 -        VA in Sacramento.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
250941 -         ..
250942 -    5.  In November, achalasia worsened, requiring weekly treatments,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
250943 -        rather than bi-annual care the previous 5 years.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
250944 -        increased effort escalates demands on resources, with attendant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
250945 -        stress and strain on personalities. [e.g., on 161115 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
250946 -        ref SDS J5 WA5I and again on 161130 1038. ref SDS K1 EP75...].                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
250947 -        Last week on Dec 5th, I sent flowers with a note thanking the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
250948 -        team, saying...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
250950 -         ..
250951 -        "Merry Christmas and Happy New Year to the GI Clinic - Jessica,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
250952 -        LaPriea, Clara, Danis, Mimi, Gracy, Rodelei, Hazel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
250953 -        everyone.  Your terrific work is always professional,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
250954 -        excellent, fun and deeply appreciated."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
250956 -         ..
250957 -    6.  The next day on Dec 6th, Doctor Lee asked me to pass along my                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
250958 -        experience getting good care at the VA. ref SDS K4 TP5I  The GI                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
250959 -        Clinic presents a constant sense of competence, accommodation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
250960 -        urgency, kindness, and sensitivity that engages the patient as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
250961 -        a true partner.  The esprit de corp of this unit is a joy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
250962 -        experience, working together as friends and colleagues.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
250963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250964 -            [On 161209 1011 received letter from Stockwell reporting he                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
250965 -            appreciated notice of good care at VA. ref SDS K6 918K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
250967 -         ..
250968 -    7.  Accordingly, kudos for advancing care at the Medical Center.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
250969 -        If you are in the office next Tuesday, and have time to stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
250970 -        into the GI Clinic OA 0800, would love to say hello.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
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2510 -