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: October 11, 2006 05:46 PM Wednesday;
Rod Welch
Millie letter to Kaiser asking for CT test on pulmonary emboli.
1...Summary/Objective
2...UCSF Reduced Cost for 2nd Opinion by $200 Thanks to Kaiser
3...Commend Arlette Kaiser Good Work Makes UCSF 2nd Opinion Faster Easier
..............
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CONTACTS
SUBJECTS
CT Scan Test 060930 Findings Pulmonary Emboli Request Received from
0903 -
0903 - ..
0904 - Summary/Objective
0905 -
090501 - Follow up ref SDS 10 OQ40, ref SDS 9 J05V.
090502 -
090503 -
090504 -
090506 - ..
0906 -
0907 -
0908 - Progress
0909 -
090901 - On 060929 the doctor ordered a CT test for pulmonary emboli.
090902 - ref SDS 6 DY5M The test was performed the next day, and on 061002 the
090903 - doctor called and reported that pathology findings from the test show
090904 - pulmonary emboli recurrence. ref SDS 8 MI5I
090906 - ..
090907 - Millie submitted a letter requesting a copy of the CT test report.
090908 - ref SDS 8 JM9W The next day on 061003 the doctor responded that the
090909 - report was not yet available for distribution. ref SDS 9 J05V Millie
090910 - asked again on 061006 for the CT test report. ref SDS 10 OQ40
090912 - ..
090913 - Today, Millie submitted ref DIT 1 0001 to Arlette, who works in the
090914 - Oncology Clinic with the primary care physician, and asking the
090915 - following...
090916 -
090917 - 1. Doctor Johnson called and left a message a week or so ago [on
090918 - 061002, ref SDS 8 MI5I] saying he got a CT test report saying I
090919 - have pulmonary emboli again -- when it rains it pours!!!
090920 - ref DIT 1 0001
090922 - ..
090923 - 2. The CT test was on Sep 30. I asked the doctor for the report.
090924 - He wrote back saying the analyst had not put it in the system.
090925 - I followed up a week or so later, and the doctor has not had
090926 - time to respond. I suspect he is really backed up with
090927 - patients, meetings, etc. ref DIT 1 RH5N
090929 - ..
090930 - 3. If you get a chance, can you please send me the report, and let
090931 - the doctor know, so he is not burdened with it. Just cut and
090932 - paste it into an email so I can get it into patient history for
090933 - review. Be sure and include report ID stuff - date time, who
090934 - did the report and so on. ref DIT 1 2A6J
090936 - ..
090937 - 4. Thanks for your help. ref DIT 1 NP7F
090939 - ..
090940 - 5. Incidentally, I got good news today. Gloria called from the
090941 - Coagulation Treatment Clinic and said I can stop those awful
090942 - shots of Lovenox. They had me doing 2 weeks instead of the
090943 - usual 1 week, but Gloria said my INR numbers are good, so I can
090944 - stop Lovenox. Last time it took months to get the numbers
090945 - within range. I feel blessed to have such a great team at
090946 - Kaiser. ref DIT 1 XP7I
090948 - ..
090949 - 6. How are you recovering from the eye operation? Hope all is
090950 - well with you. ref DIT 1 OP8G
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0910 -
SUBJECTS
UCSF Reduced Cost for 2nd Opinion by 30% Saved Customer $200 Thanks
4603 -
460401 - ..
460402 - UCSF Reduced Cost for 2nd Opinion by $200 Thanks to Kaiser
460403 - Commend Arlette Kaiser Good Work Makes UCSF 2nd Opinion Faster Easier
460404 -
460405 - Follow up ref SDS 7 0000, ref SDS 5 0001.
460406 -
460407 - 7. Another quick note: Doctor Benz at UCSF really liked the way
460408 - you put together an organized and concise packet of documents
460409 - for a 2nd opinion. Made the meeting on Aug 21 go a lot better.
460410 - I just the got the bill today, and they knocked off more than
460411 - $200, over 30% from the quoted price. Maybe its because of
460412 - your good work making their work faster and easier. ref DIT 1
460413 - FQ8J
460414 -
460415 - [On 061012 Arlette appreciated commendation; feels part of
460416 - credit is owed to Kaiser's failure to perform requirements
460417 - for 2nd opinions. ref SDS 11 PW4S
460419 - ..
460420 - On 060725 UCSF quoted a price of $700 for a 2nd opinion.
460422 - ..
460423 - On 060809 Margaret, the new patient coordinator, called and said that
460424 - getting medical records organized would be a big help, and save UCSF a
460425 - lot of time. ref SDS 2 I73H
460427 - ..
460428 - Well ordered record is inherent in SDS design to manage chronology,
460429 - context and connections that aids understanding causation with links
460430 - to original sources, explained in POIMS, ref OF 6 8555, and cited in
460431 - early analysis on 890523 0650. ref SDS 1 TP8O
460433 - ..
460434 - On 060814 Arlette assembled a packet of documents from Kaiser's
460435 - medical records for Millie to get a 2nd opinion at UCSF. ref SDS 3
460436 - 407N A week later, on 060819 these Kaiser documents received from
460437 - Arlette were organized to facilitate understanding patient history.
460438 - ref SDS 4 LK4M This was submitted to UCSF on 060821, ref SDS 5 UE6H,
460439 - and Doctor Benz used these during the meeting with the patient.
460440 - ref SDS 5 TQ5I
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