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 12, 2022 08:28 AM Monday; Rod Welch

VA Primary Care Lauren Dryjanaki notify flu symptoms, will test for coronavirus.dule meeting.

1...Summary/Objective
........Comparing cold, flu, Covid-19 and RSV Symptoms


..............
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SUBJECTS
Endocrinology Review HDL Failing Rise With Hiking Mileage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
0403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0403 -    ..
0404 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
0405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040501 - Follow up ref SDS 48 0000. ref SDS 47 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040509 -  ..
0406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0408 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040901 - Previously, sent letter to Lauren requesting refill for Tramadol,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040902 - reported on 220520 1034. ref SDS 36 4G4N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040904 -  ..
040905 - Extensive communication with Lauren review patient status, was on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040906 - 220513 0646. ref SDS 35 4G4N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040908 -  ..
040909 - On 211109 0811 letter to Lauren saying not necessary to meet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040910 - ref SDS 25 KP6I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040912 -  ..
040913 - On 211028 1049 letter askks Lauren when next meeting with Primary Care                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040914 - will ocur. ref SDS 24 5W7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040917 -  ..
040918 - Submitted letter to Lauren in Primary Care VAMCSF and saying...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040920 -    1.  Subject:  Flu Symptoms, Coronavirus?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040921 -        Date:  2022-12-12, 08:46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040926 -         ..
040927 -    2.  Dear Lauren,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040929 -         ..
040930 -    3.  Hope this letter finds you enjoying the holidays with a healthy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040931 -        expanded family.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040933 -         ..
040934 -    4.  Have had flu symptoms for few days.  It is odd, since have not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040935 -        been sick with any symptoms for 10 years or so.  Don't think                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040936 -        symptoms extend to coronavirus, because there is no evident                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040937 -        fever nor ARD, although there is occasional sneezing, cough and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040938 -        even difficult breathing - just comes out of nowhere and lasts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040939 -        for a moment. Have had a lot of congestion, but this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040940 -        seems resolved.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040942 -            [...below on 221212 0828 at 1348 letter from Lauren in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040943 -            Primary Care at VAMCSF, and saying to get tested for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040944 -            coronavirus at VAMC while in Sacramento. ref SDS 0 DR9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040946 -         ..
040947 -    5.  Going to Sacramento in a few minutes for meeting with Kathy's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040948 -        oncologist at Kaiser.  Considering stopping at VAMC in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040949 -        Sacramento, actually Mather and getting tested for coronavirus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040950 -        to make sure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040952 -         ..
040953 -    6.  Please comment as needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040955 -         ..
040956 -    7.  Thanks, and again...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040958 -         ..
040959 -    8.  Happy Holidays!!!                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
040960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040968 -  ..
0410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0412 - 1348                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041301 - Received letter from Lauren saying...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041303 -    1.  Subject:  RE: [EXTERNAL] Flu Symptoms, Coronavirus?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
041304 -        Date:  2022-12-12, 09:43                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041308 -         ..
041309 -    2.  Hi Rod,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
041311 -         ..
041312 -    3.  I'm sorry to hear you're feeling crummy.  You should get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041313 -        tested--if within 5 days of symptoms and you do have covid you                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041314 -        are eligible for an anti-viral medication. If it were to be flu                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041315 -        you are out of window for treatment. But you should be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041316 -        evaluated if you are having shortness of breath.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
041318 -  ..
041319 - Lauren responds to the letter this morning reporting symtoms, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041320 - above. ref SDS 0 PC5H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041322 -         ..
041323 -    4.  Take care and hope you have a good holiday with Kathy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041325 -         ..
041326 -    5.  Lauren                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041331 -  ..
0414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0416 - 1451                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041701 - Received letter from Doctor Simpson saying...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041703 -    1.  Subject:  Re: Flu Symptoms, Coronavirus?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041704 -        Date:  2022-12-12, 09:58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041709 -    2.  hi Mr Welch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041711 -    3.  you might find the attached helpful in self-diagnosis?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041713 -  ..
041714 - Doctor Simpson responds to the letter to Lauren reporting flu                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041715 - symptoms, per above. ref SDS 0 PC5H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041717 -         ..
041718 -    4.  Best                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
041719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041720 -        dr S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
041721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041723 -         ..
041724 -        Comparing cold, flu, Covid-19 and RSV Symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041726 -        o Rare symptom  1 Occasional symptom, 2 Common Sympton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041728 -         ..
041729 -        Symptom                  Cold   Flu   Covid-19  RSV < Rod >
041730 -        Fever, chills             0      2       2       2     0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041731 -        Headache                  0      2       2       2     1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041732 -        Cough                     2      2       2       2     2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041733 -        Body aches, muscle pain   1      2       2       0     0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041734 -        Fatigue                   1      2       2       1     0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041735 -        Stuffy or runny nose      2      1       2       2     2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041736 -        Sore throat               2      1       2       0     0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041737 -        Loss of taste or smell    1      0       0       0     0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041738 -        Vomitting, diarrhea       0      1       1       1     0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041739 -        Loss of appetite          1      1       0       2     0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041740 -        Sneezing                  2      0       1       2     2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041741 -        Difficulty breathing      0      0       2       1     1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041743 -         ..
041744 -        Table:  Jenny Kwon / The Chronicle * Source Centers for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
041745 -        Disease Control and Prevention, National Institutes of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041746 -        Health and World Health Organization                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
041747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
0418 -