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: July 28, 1994 07:43 PM Thursday; Rod Welch

Received call from Kory on rosacia problem.

1...Summary/Objective
2...Rosacia Treatment Prescribed Medication Meeting Evaluate 6 Weeks
3...Medication Treat Rosacia Required Meeting Evaluate 6 Weeks


..............
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CONTACTS 
0201 - Kaiser Medical Center                                                                                                                                              
020101 - Dr. Kory Zipperstein, M.D.; 
020102 - Department of Dermatology 

SUBJECTS
Kaiser Doctor Commends SDS Record Complements Medical Chart Patient                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
5103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5103 -    ..
5104 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
5105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
510501 - Follow up ref SDS 5 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510503 - Kory commended SDS diary report Kaiser received for the meeting on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
510504 - 940624. ref SDS 5 0001  The record was submitted a few days later on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
510505 - 940629 via transmittal letter. ref DIP 5 0001, delivered while at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
510506 - Kaiser for a blood draw procedure. ref SDS 6 6381                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
510508 -  ..
510509 - Kory said the SDS record was amazingly accurate and thorough.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
510511 -  ..
510512 - Kory said he has never seen anything like the SDS record that shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
510513 - examinations and calls, like today, linked to relevant parts of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510514 - patient history, to research, and with follow up planning.  He feels a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
510515 - connected archive of patient history that associates prior diagnoses,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
510516 - treatments, and results can benefit medical practice to improve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510517 - patient care, and save time and money and worry by patients and doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
510518 - alike.  Kory asked how writing notes on daily work becomes a rich                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
510519 - history with connections for timely discovery of specific details to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
510520 - guide current work?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
510521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510522 -      [On 940920 Kory advised SDS record of medical history saved time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
510523 -      and money. ref SDS 9 5922                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
510525 -       ..
510526 -      [On 000208 Doctor Racah reported SDS record meeting for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
510527 -      examination amazing accurate comprehensive memory like a tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
510528 -      recording. ref SDS 15 8W9I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
510530 -       ..
510531 -      [On 000601 2148 Eric Armstrong asked if meeting at Intel on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
510532 -      000507 was tape recorded because SDS record very accurate.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510533 -      ref SDS 16 IU3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
510535 -       ..
510536 -      [On 001116 1033 Jack Park cites SDS amazing memory tracking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
510537 -      details at SRI enables performing Knowledge Management to improve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
510538 -      daily work. ref SDS 17 953G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
510540 -       ..
510541 -      [On 100104 0930 Doctor Sandhu in Primary Care at VA Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
510542 -      in Martinez reported using the Internet provides efficient                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510543 -      communication to coordiate across VA jurisdictions.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
510544 -      doctor described navigating patient history in SDS records                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510545 -      on the Internet is "pretty slick" saving time following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
510546 -      heart surgery. ref SDS 21 YM7N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
510548 -       ..
510549 -      [On 150319 0800 Doctor Lee at GI Clinic VA Medical Center in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
510550 -      Sacramento CA requests more post-procedure meetings to use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510551 -      customer's computer showing SDS records for efficient case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510552 -      management follow up. ref SDS 22 IL7O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
510554 -  ..
510555 - SDS flexible structure provides efficient usability that optimizes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
510556 - traditional literacy (reading and writing) with a more powerful                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510557 - practice for working quickly and accurately, i.e., working                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
510558 - intelligently, explained in POIMS, ref OF 6 1X6G, and set out in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
510559 - record on 890523. ref SDS 2 P13O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
510561 -  ..
510562 - SDS lifts capacity to think, rememeber, and communicate for better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
510563 - command and control of daily work tracking objectives, requirements,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
510564 - and commitments, explained in POIMS. ref OF 10 3742  The design                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
510565 - evolved from experience in engineering and construction management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
510566 - illustrated by the record on 890324. ref SDS 1 8R97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
510568 -       ..
510569 -      [On 990625 Kaiser Medical Guidelines call for doctor/patient                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
510570 -      partnership. ref SDS 10 4185]                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
510572 -       ..
510573 -      [On 990625 Kaiser Guidelines require patinet notes and feedback                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
510574 -      from the doctor for effective communiation. ref SDS 10 0806]                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
510576 -       ..
510577 -      [On 990802 Doctor prefers conventional methods. ref SDS 11 9108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
510579 -       ..
510580 -      [On 990802 medical coordinator says Com Metrics on the Internet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
510581 -      is pretty neat, saves time and money. ref SDS 11 0406]                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
510583 -       ..
510584 -      [On 990910 Doctor prefers conventional methods. ref SDS 12 9130                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
510586 -       ..
510587 -      [On 990912 report on high cost of medical mistakes using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
510588 -      conventional management practices. ref SDS 13 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
510590 -       ..
510591 -      [On 000118 medical coordinator finds the record too complicated.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
510592 -      ref SDS 14 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
510594 -       ..
510595 -      [On 000208 Doctor Racah found that SDS enables amazing records                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
510596 -      with accuracy comparable to tape recordings. ref SDS 15 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
510598 -       ..
510599 -      [On 041202 Doctor Parsley used email for timely, accurate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
510600 -      coordination between patient, primary care physician and surgeon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
510601 -      on follow up for emergency treatment that found biopsy wound that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
510602 -      failed to heal over 8 months. ref SDS 18 426W                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
510604 -       ..
510605 -      [On 041212 Gary notices SDS is attractive to some doctors, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
510606 -      not to others. ref SDS 19 XN7P                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
510608 -       ..
510609 -      [On 050422 patient commends quality of SDS records for patient                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
510610 -      history. ref SDS 20 F47L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
510611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
510613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
5107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

SUBJECTS
Rosacia Treatment Prescribed Medication Meeting Evaluate 6 Weeks Mee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
5803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5804 - Discussion of Rosacia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
580501 -  ..
580502 - Rosacia Treatment Prescribed Medication Meeting Evaluate 6 Weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
580503 - Medication Treat Rosacia Required Meeting Evaluate 6 Weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
580504 - 
580505 - Advised having not taken any of the prescribed medication, and that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
580506 - the rosacia condition has fluctuated in severity, though the extreme                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
580507 - condition of blistering on my nose observed on 940624, ref SDS 5 5222,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
580508 - has gone away and no comparable blisters have appeared since.  Lessor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
580509 - blisters have continued to appear, indicating efforts to correct the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
580510 - problem by changing diet, ref SDS 5 5729, have essentially failed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
580511 - Actually, I have not altered my diet sufficient to test the original                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
580512 - theory.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
580514 -  ..
580515 - Kory indicated the medication typically will not begin to show any                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
580516 - effects for about 2 weeks from date of commencement, and then requires                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
580517 - another 4 weeks to show measurable improvement.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
580519 -  ..
580520 - We decided to begin taking medication, and bump the scheduled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
580521 - evaluation meeting from 940805 to oa 940912, so treatment has 6 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
580522 - to take affect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
580524 -  ..
580525 - Kory said to call the hospital at 202 2207 tomorrow during normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
580526 - hours and request this schedule change.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
580527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
580528 -     [On 940914 reported results of medication. ref SDS 8 2881]                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
580529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
580530 -     [On 940920 Kory called on progress. ref SDS 9 5922]                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
580531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
580532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
580533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
580534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
580535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
580536 -