THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rodwelch@pacbell.net


S U M M A R Y


DIARY: November 6, 1997 10:53 AM Thursday; Rod Welch

Called Lilly on Steve's progress in hospital.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Steve & Lilly
Mistakes Communication Causes Re-work
Medical Mistakes, Steve Buck

0605 -
0605 -    ..
0606 - Summary/Objective
0607 -
060701 - Follow up ref SDS 5 0000, ref SDS 4 0000.
060702 -
060703 - Called Lilly at Penninsula Hospital   415 696 5400 Room 7428b
060705 -  ..
060706 - Lilly said Steve's condition has not improved and may possibly have
060707 - regressed.
060709 -  ..
060710 - She indicated that testng done so far has not indicated any specific
060711 - cause of the clotting in his lower leg, nor for the pain in his upper
060712 - leg.
060714 -  ..
060715 - An MIR will be performed shortly focusing on the knee area.
060717 -  ..
060718 - Lilly related understanding that the Doctor suspects an infection in
060719 - the knee operation may be the cause of Steve's condition.
060721 -  ..
060722 - She advised the Doctor has indicated that Steve may have to return to
060723 - Stanford for rework on his surgery.
060725 -  ..
0608 -
0609 -
0610 - 1655 called back
0611 -
061101 - Talked to Steve.  He sounds better, but still weak.  The results of
061102 - the MRI test have not yet been received.
061104 -  ..
061105 - Lilly was away from the room, so I did not talk to her.
061106 -
061108 -  ..
061109 - Talked to Millie later and she said Steve had surgery this evening,
061110 - indicating that the MRI testing showed a problem.
061112 -  ..
061113 - Talked to Lilly the next morning at 0630.  Woke her up.
061115 -  ..
061116 - She said emergency surgery was performed last night that saved Steve's
061117 - life, by relieving a compound problem of both bleeding and blood
061118 - clotting.
061120 -  ..
061121 - Steve's close call appears to have been caused by lack of post-surgery
061122 - care by the surgeon, who ignored Steve's report of excessive pain as a
061123 - normal symptom on 971103. ref SDS 3 0001
061125 -  ..
061126 - Lilly advised that the surgery last night found severe bleeding on the
061127 - knee.  It was a miracle he lived in light of the blood thinner that
061128 - was prescribed on 991103. ref SDS 3 0205
061129 -
061130 -     [On 971107 Steve advised excessive bleeding was a factor.
061131 -     ref SDS 6 1334]
061133 -  ..
061134 - The surgery was performed by the doctor who fixed Amanda's elbow the
061135 - other day, ref SDS 3 3099.  Lilly said she spoke to the doctor after
061136 - the operation and got the impression that the doctor is optimistic
061137 - that the cause of the problems in Steve's leg is now relieved.  They
061138 - have tubes inserted into Steve's knee to drain any buildup of fluid.
061140 -  ..
061141 - Lilly said the doctor who did the knee surgery finally called and
061142 - talked to Steve today, a week after Steve requested treatment.  Steve
061143 - indicated the knee surgery doctor said he was out of town over the
061144 - weekend, and he was unable to get information on Steve's condition
061145 - from the hospital.  This seems to conflict with the doctor's offer to
061146 - see Steve the "next day," reported on 971103. ref SDS 3 1073
061147 -
061148 -     [On 971107 Steve visited by knee surgeon. ref SDS 6 7920]
061150 -      ..
061151 -     [On 990912 high cost of medical mistakes reported. ref SDS 7 0001]
061153 -      ..
061154 -     [On 991028 Kaiser's CEO reports Kaiser commited to quality care
061155 -     and doctors have freedom to practice medicine as it should be
061156 -     practiced. ref SDS 8 2555]
061158 -      ..
061159 -     [On 040812 Steve's grandmother died at the age of 40 with coronory
061160 -     thrombosis, and in 2003, Steve's brother was treated for pulmonary
061161 -     edema. ref SDS 9 MG4M
061162 -
061163 -
061164 -
061165 -
061166 -
061167 -
061168 -
061169 -
0612 -