THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700


S U M M A R Y


DIARY: November 5, 1999 07:29 AM Friday; Rod Welch

Received call from Kath and Patty on visiting Bob at hospital.

1...Summary/Objective
2...Bob Coming Home Friday, Emotional Issues Continue, Medication Changed
3...Called Counsel Revise Meeting for Family Estate Planning
4...Planning for Bob to Come Home in a Week
5...Notifying Family and Friends about Bob's Condition
6...Surgeon Does Not Follow Normal Procedure for Disclosure to Patient
7...Here are some talking points for a call to Dick....
8...Bob Recovering to Enough to Call his Brother by Phone
9...Estate Planning and Medicare Application Discussed with Bob
10...Excellent Work on Stressful Issues Requires Time Off

ACTION ITEMS.................. Click here to comment!

1...We need to try and get support for the religion issue. Bob is not

CONTACTS 
0202 - Murphy, McNay, Davis Law Offices     916 446 6462                                                                                                                  O-00000726 0103
020201 - Ms. Madeline Davis, Esq.                                                                                                                                         O-00000726 0103
020202 - mkdavis@m-mlaw.com                                                                                                                                               O-00000726 0103

SUBJECTS
Kathleen and Bob

0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 21 0000, ref SDS 19 0000.
040502 -
040503 - Bob had a difficult night after surgery, causing injury to himself.
040504 - Patty was called to the hospital to stay in Bob's room to monitor him.
040505 - Surgeon changed procedure about discussing prognosis with patient.
040506 - Decided that Patty would attend meeting with estate planning counsel,
040507 - because surgeon asked Kathleen to meet with Bob this morning.  Brief
040508 - Patty and Madeline on scope, background and objectives of meeting.
040509 - Planning on notifying family about Bob's prognosis, including Bob's
040510 - brother Dick.  In late afternoon, Bob called and asked for help
040511 - contacting his brother.  Patty explained progress on estate planning
040512 - and filing for medicare disability.  Bob was initially upset, but
040513 - seemed to calm down.  Patty is taking some time off this evening.
040514 - Mother and Bob will arrive OA 1900.  Kathleen is spending the night
040515 - with Bob at the hospital, to avoid further injurious acts, as occurred
040516 - last night.
040517 -
040518 -
040519 -
0406 -
0407 -
0408 - Discussion
0409 -
040901 -  ..
040902 - Bob Coming Home Friday, Emotional Issues Continue, Medication Changed
040903 -
040904 - Follow up ref SDS 21 8769.
040905 -
040906 - Kathleen said that, after surgery last night, Bob had a difficult
040907 - emotional experience resulting in him removing IVs and other treatment
040908 - devices.  The hospital called and asked Patty to come stay with her
040909 - dad through the night to monitor and help him remain calm.
040910 -
040911 -    [On 991108 emotional problems continued. ref SDS 24 5328]
040912 - ..
040913 - The surgeon has asked Kathleen to visit Bob this morning shortly
040914 - after they explain his condition, per planning last night. ref SDS 19
040915 - 4899  That means Kathleen cannot go to the meeting with Madeline at
040916 - 0900.
040917 -
040918 - Kathleen and Patty considered postponing the meeting with counsel to
040919 - later in the day, or next week, so they both can visit Bob this
040920 - morning, and also visit with counsel.
040921 -
040922 - We reviewed understandings that Madeline is leaving town, and has
040923 - rearranged her schedule to do a meeting at 0900.  It is not clear when
040924 - she will be back, although it seems like it will be sometime next
040925 - week. ref SDS 19 3528
040926 -
040927 - Patty suggested that she go to the hospital with Kathleen this morning
040928 - and visit Bob briefly, then she will go to the meeting with Madeline,
040929 - and submit the documents they have on estate planning, while Kathleen
040930 - stays with Bob per request of surgeon.
040931 -
040932 - Patty has the directions to Madeline's office on J street, near
040933 - Highway 5 off ramp.
040934 - ..
040935 - Mother and Bob are driving up to be with Kathleen and Bob,
040936 - should arrive tomorrow.  Below receive confirming letter from Mother.
040937 - ref SDS 0 0003
040938 - ..
040939 - Patty will call Bob's brother Dick to let him know Bob's
040940 - situation, so he can come visit.
040941 -
040942 -     (see further planning below. ref SDS 0 5192)
040943 -
040944 -     [On 991108 Dick visited Bob at the hospital. ref SDS 25 5328]
040945 -
040946 -
040947 -
0410 -
0411 -
041101 -  ..
041102 - Called Counsel Revise Meeting for Family Estate Planning
041103 -
041104 - Follow up ref SDS 21 9044, ref SDS 19 4424
041105 -
0412 -
0413 -
0414 - 0754 called Madeline Davis         916 446 6462
0415 -
041501 - Left message for Madeline about new arrangements for the meeting this
041502 - morning.
041503 -
041504 - Advised of having submitted ref DIP 9 0001 linked to the record
041505 - yesterday, ref SDS 19 0001, to help Madeline prepare for the meeting
041506 - this morning, based on background on 991102. ref SDS 16 2997
041507 -
041508 -
041509 -
041510 -  ..
0416 -
0417 -
0418 - 0809 Madeline called back
0419 -
041901 - Madeline said Internet access to her email is down this morning
041902 - because of new wiring being installed.  She asked me to fax the letter
041903 - to her. ref DIP 9 0001
041904 -
041905 - I explained the correspondence is cross linked and so fax does not
041906 - work well.  (below the letter was faxed. ref SDS 0 0792)
041907 -
041908 - I explained change of plans due Bob's condition and the doctor's
041909 - request that the family be with Bob this morning. ref SDS 21 3988
041910 -
041911 - Madeline has not written the letter to Kathleen and Bob confirming the
041912 - work done today for the family.
041913 -
041914 - She will do this after our call and give the letter to Patty when she
041915 - arrives for the meeting this morning.
041916 -
041917 -     [This was done in another record. ref SDS 22 4400]
041918 - ..
041919 - To help Madeline prepare for the meeting with Patty at 0900, we
041920 - reviewed the record on 991102, ref SDS 16 2528, since Madeline did not
041921 - get this information due to an email breakdown, per above. ref SDS 0
041922 - 4134
041923 -
041924 - ..
041925 - To expedite application for medicare coverage, Madeline will
041926 - call...
041927 -
041928 -
041929 -                          Trudy Nearn
041930 -                          916 563 7822.
041931 -
041932 -
041933 - ...and request that she call me to review scope of services for legal
041934 - support on medicare application, per work yesterday. ref SDS 20 4440
041935 -
041936 -     [In another record Trudy's office responds. ref SDS 23 2640]
041937 -
041938 -
041939 -
041940 -  ..
0420 -
0421 -
0422 - 0908 called Millie
0423 -
042301 - Asked Millie to print the letter and fax to Madeline with attached SDS
042302 - records, per above. ref SDS 0 4134  Millie said this was 10 - 15
042303 - pages.
042304 -
042305 -     [In another record, Madeline received the fax. ref SDS 22 5966]
042306 -
042307 -
042308 -
042309 -  ..
042310 - Planning for Bob to Come Home in a Week
042311 -
042312 -
0424 -
0425 -
0426 - 1226 received call from Kathleen
0427 -
042701 - Kath said the surgeon advised that Bob will stay in the hospital for
042702 - about a week, then he will be released to come home.
042703 -
042704 - She has talked to Rita about arranging for hospice support.
042705 -
042706 - Bob will need medication to deal with the pain, and will be unable to
042707 - eat anything, so he will need an IV.
042708 -
042709 - He will also need help with a colonos....???
042710 -
042711 - We need to try and get support for the religion issue.  Bob is not
042712 - generally not into this sort of thing, but things are a little
042713 - different now.  Maybe the hospice people cover this.
042714 -
042715 -
042716 -
042717 -  ..
042718 - Notifying Family and Friends about Bob's Condition
042719 - Surgeon Does Not Follow Normal Procedure for Disclosure to Patient
042720 -
042721 - Bob was heavily sedated this morning.  He has a morphine supply,
042722 - which he can activate to maintain personal comfort.
042723 -
042724 - The surgeon did not disclose to Bob this morning the prognosis of 2
042725 - months, and suggested to Kathleen separately that Bob is really not
042726 - emotionally able to handle this information, contrary to planning last
042727 - night to follow normal procedure. ref SDS 19 4899
042728 -
042729 - Kathleen asked me to notify the family not mention the 2 month issue
042730 - in speaking with Bob.
042731 -
042732 - Based on the surgeon's break with precedent, the family has to avoid
042733 - causing emotional trauma to Bob, per planning on 991102. ref SDS 16
042734 - 2997
042735 -
042736 -     [On 991112 doctor discussed prognosis with Bob. ref SDS 26 2754]
042737 -
042738 -
042739 -  ..
042740 -
042741 - Bob's brother Dick has called several times and left messages asking
042742 - about Bob's condition.
042743 -
042744 -     [On 991108 Dick visited Bob at the hospital. ref SDS 25 5328]
042745 - ..
042746 - Kathleen requested submission via email of ideas to help guide a
042747 - call to Dick explaining that estate planning counsel has advised
042748 - payments must be deferred until medicare has ruled on Bob's coverage,
042749 - per Patty's meeting this morning. ref SDS 22 1484
042750 -
042751 -
042752 - Here are some talking points for a call to Dick....
042753 -
042754 -
042755 -      1.  Explain surgery late last night, and report that Bob only has
042756 -          two months to live, but that the doctor feels his emotional
042757 -          state prevents disclosing this to Bob. ref SDS 0 3182
042758 -
042759 -          Last night after surgery, the hospital called and Patty had
042760 -          to go to the hospital to be with Bob through the night
042761 -          because he pulled the IVs from his arm. ref SDS 0 8769
042762 -
042763 -          So, if Dick talks to Bob, please don't mention this, and
042764 -          tell his family and friends not to mention it either.
042765 -
042766 -     [On 991108 Dick visited Bob at the hospital. ref SDS 25 5328]
042767 -
042768 -      2.  Kathleen has been with Bob this morning that is why she
042769 -          missed Dick's call. ref SDS 0 9266
042770 -
042771 -          Bob is heavily sedated against pain and to keep him calm.
042772 -
042773 -          He will be in the hospital for about a week.
042774 -
042775 -          Patty and I are going back to the hospital later, and will
042776 -          tell Bob that Dick has been calling.  He will like that.
042777 -
042778 -          Because of medication, Bob may not be able to take calls, but
042779 -          Dick can try...
042780 -
042781 -
042782 -                          916 537 5000
042783 -
042784 -
042785 -          ...he has been in pre-surgery room 5532, but that may
042786 -          change.
042787 -
042788 -
042789 -          Dick can visit Bob in the hospital at...
042790 -
042791 -
042792 -                          Mercy San Juan
042793 -
042794 -
042795 -      3.  Bob asked for a lawyer yesterday to prepare a will before
042796 -          going in to surgery, which he hadn't done.
042797 -
042798 -      4.  The lawyer helped Bob prepare a will, and has advised that
042799 -          the family should not disperse any funds until Bob's
042800 -          application for medicare is processed to pay for hospital
042801 -          bills and medical expenses.
042802 -
042803 -      5.  If Dick asks what about his check???
042804 -
042805 -          The lawyer said to put everything in a safety deposit box,
042806 -          including the check for Dick, until the medicare matter is
042807 -          settled, otherwise we could lose eligibility.
042808 -
042809 -      6.  If Dick asks why?
042810 -
042811 -          Say we really haven't had time yesterday or today to discuss
042812 -          all of the details.  We are supposed to have a meeting next
042813 -          week to find out more.
042814 -
042815 -          Maybe Dick can call the lawyer who is handling this and get
042816 -          more information....
042817 -
042818 -                          Madeline Davis
042819 -                          916 446 6462
042820 -
042821 -      7.  If Dick says he needs some money.
042822 -
042823 -          Say that Bob put some money for household expenses for the
042824 -          next month in the checking account.
042825 -
042826 -          There is not much, but but can send something, or Dick can
042827 -          pick it up if he comes to visit Bob.
042828 -
042829 -
042830 -
0429 -
0430 -
0431 - 1325 called Kathleen
0432 -
043201 - Advised having sent an email with a link to this record. ref SDS 0
043202 - 0900
043203 -
043204 - Kathleen has not received the email, but will print it for talking
043205 - points when she calls Dick.
043206 -
043207 -
043208 -  ..
0433 -
0434 -
0435 - 1455 received letter from Mother and Bob
0436 -
043601 - Received a letter, ref DRT 1 0001, from Mother and Bob confirming they
043602 - are coming up to visit Kathleen, and will arrive this evening, per
043603 - telecon with Kath this morning. ref SDS 0 1081
043604 -
043605 - Mother mentions getting the news on Bob's prognosis from the copy of
043606 - the letter to Madeline, ref DIP 9 0001, which is linked to Patty's
043607 - call last night. ref SDS 19 4899
043608 -
043609 -
043610 -
043611 -
043612 -
0437 -
0438 -
0439 - 1759 received call from Patty
0440 -
044001 - Patty advised that they received the email, but did not recognize
044002 - they had it.
044003 -
044004 - Patty has printed it and highlighted the section with guidance on
044005 - talking to Dick. ref SDS 0 0900
044006 -
044007 -
044008 -
044009 -  ..
044010 - Bob Recovering to Enough to Call his Brother by Phone
044011 - Estate Planning and Medicare Application Discussed with Bob
044012 -
044013 - She called her Dad and explained that the lawyer told them to
044014 - defer distributing the check to his brother, Dick. ref SDS 22 3698
044015 -
044016 - Bob was initially very upset and strongly complained to Patty that the
044017 - family should follow his wishes on paying money to Dick.
044018 -
044019 - This is a good sign that Bob is regaining his strength after the
044020 - operation.
044021 -
044022 - Patty explained the need to file for medicare benefits and that this
044023 - requires deferring immediate distribution of assets, as related by
044024 - Madeline at the meeting this morning. ref SDS 22 3698
044025 -
044026 - Patty said that Bob was calmed by this understanding, and seemed to
044027 - indicate recognition that following advice of counsel is the best
044028 - course.
044029 -
044030 - We reviewed briefly ideas from 991102 on avoiding injurious emotional
044031 - issues in discussions with Bob. ref SDS 16 2997  The surgeon's change
044032 - in normal procedure on notifying patients about their prospects, is an
044033 - example. ref SDS 0 5022
044034 - ..
044035 - Patty advised that in her call to Bob, he complained about not
044036 - being able to get through to his brother on the phone, because Dick
044037 - has a method of disconnecting the phone or suppressing the ring.
044038 -
044039 - He evidently asked Patty to call a number that can page Dick, and
044040 - alert him that Bob wants to talk to him.
044041 -
044042 - Patty feels Kathleen should call Dick based on talking points, above.
044043 - ref SDS 0 0900
044044 -
044045 - She considered calling Dick herself, then apparently Kathleen said she
044046 - planned to review the talking points, and would call Dick.
044047 -
044048 -     [On 991108 Dick visited Bob at the hospital. ref SDS 25 5328]
044049 -
044050 -
044051 -  ..
044052 - Excellent Work on Stressful Issues Requires Time Off
044053 -
044054 - We discussed briefly that this situation is hectic and emotionally
044055 - draining, i.e., stressful for everyone.  Patty and Kathleen both have
044056 - had to work closely together the past few days on difficult problems,
044057 - leading to small annoyances beginning to cause disproportionate
044058 - reactions.
044059 -
044060 - Patty senses this, and so is glad she will have a little time to
044061 - herself this evening to unwind.
044062 -
044063 - Patty and Kathleen are going to the hospital this evening to visit
044064 - Bob.  Patty is leaving Kathleen at the hospital to stay with Bob so
044065 - someone is there to help if the problem he had last night occurs
044066 - again. ref SDS 0 8769
044067 -
044068 - Mother and Bob should be arriving about 1900.  They can get in if
044069 - Patty is not back from the hospital.
044070 - ..
044071 - Patty may call Amy to see a movie or something tonight.
044072 -
044073 - Maybe she can stay at Kathy and Amy's tonight instead of having to
044074 - come home and spend a lot of time explaining events of the past few
044075 - days.
044076 -
044077 -
0441 -
0442 -
0443 - 1828 called Kathy Welch
0444 -
044401 - She has talked to Patty, and hook will up later this evening, possibly
044402 - with Amy if she is free this evening.
044403 -
044404 -     [On 991109 Amy sent a letter saying she was joined the party.
044405 -     ref SDS 25 2730]
044406 -
044407 -
044408 -
044409 -
044410 -
044411 -
044412 -
044413 -