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: June 27, 2009 09:22 PM Saturday; Rod Welch

Millie requests treatment from UCSF for recurrent breathing problems.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - On 090609 0900 during a meeting at UCSF, Doctor Hsu diagnosed Millie's
040902 - cancer spreading and new breathing problems was caused by errors and
040903 - omissions performing radiation treatments at UCSF during February and
040904 - March, and on referral from Kaiser. ref SDS 2 W65W
040906 -  ..
040907 - On 090609 0900 Doctor Hsu prescribed treatment with MPA at UCSF for
040908 - Millie to recover from medical mistakes performing radiation earlier
040909 - at UCSF. ref SDS 2 W66W
040911 -  ..
040912 - On 090616 1240 Doctor Rugo provided MPA treatment for Millie to
040913 - recover from cancer spreading and new breathing problems, ref SDS 3
040914 - D647, prescribed by Doctor Hsu on 090609. ref SDS 2 W66W
040916 -  ..
040917 - On 090626 1140 Doctor Johnson reports in Kaiser's medical chart that
040918 - assessment from examination finds some dyspnea on exertion (DOE) which
040919 - aligns with reports of rising breathing problems caused by progressive
040920 - lung injury from UCSF medical mistakes providing radiation medical
040921 - services on referral from Kaiser. ref SDS 5 EF7R
040923 -  ..
040924 - On 090627 0010 Millie sent a letter to medical team reporting results
040925 - meeting with Doctor Johnson yesterday at Kaiser.
040927 -  ..
040928 - On 090627 1922 Millie requested treatment from the medical team for
040929 - relief from continuing breathing problems manifested by recurrence of
040930 - persistent cough. ref SDS 0 BF4K
040931 -
040932 -    1.  Subject: Persistent Cough All Day Finally Resolved No Fever
040933 -        Date: Sat, 27 Jun 2009 21:34:42 -0700
040944 -         ..
040945 -    2.  Just a quick follow up to the meeting yesterday at Kaiser,
040946 -        reported in a letter to the team last night.
040948 -         ..
040949 -    3.  This afternoon OA 1400, I began coughing.  This increased
040950 -        through the afternoon, and about 1900 became persistent, i.e.,
040951 -        I could stop coughing for an hour or so.  This is a light, dry
040952 -        cough.  It doesn't hurt, and I am not having problems
040953 -        breathing.  There is no phlegm or other discharge, except 20
040954 -        minutes ago I vomited my lunch for some reason, which seemed
040955 -        benign - cottage cheese and tomatoes.  None of my dinner seemed
040956 -        to come up, but I did not perform a careful inventory.
040958 -         ..
040959 -    4.  Recall there was a similar isolated and prolonged episode of
040960 -        coughing on 090403. ref SDS 1 UV4X
040962 -         ..
040963 -    5.  As reported in the record, at that time, you suggested review
040964 -        by Doctor Johnson at Kaiser.  Doctor Johnson investigated and
040965 -        the matter was resolved satisfactorily.  By copy, I am
040966 -        notifying Doctor Johnson again.
040967 -
040968 -            [On 090708 1343 Arlette called and reported that Doctor
040969 -            Johnson ordered xray tests to evaluate Millie's breathing
040970 -            problems caused by progressive radiation injury from
040971 -            medical mistakes providing radiation services provided by
040972 -            UCSF. ref SDS 7 FS6G
040974 -             ..
040975 -            [On 090708 1633 Doctor Johnson calls and advises that
040976 -            Kaiser has also ordered a pulmonary funciton test (PFT) to
040977 -            further evaluate Millie's breathing problems. ref SDS 8
040978 -            FS6G
040980 -         ..
040981 -    6.  Thankfully, today, I don't have a fever, and as I prepare this
040982 -        report, the cough now seems to have at last calmed, so I can
040983 -        sleep.  I will position myself vertically to reduce pressure
040984 -        for further vomiting.
040986 -         ..
040987 -    7.  If a fever does develop, I can go to the ER.
040989 -         ..
040990 -    8.  Hopefully, this episode is resolved.
040992 -         ..
040993 -    9.  Since, it has occurred twice, for the future, are there any
040994 -        medications to help control my cough, possibly related to
040995 -        radiation treatments, IBC tumor, and ground glass opacities,
040996 -        discussed yesterday [shown in the agenda, reported on 090626
040997 -        1057. ref SDS 4 0E5Y and ref SDS 4 0E6V], and so it doesn't get
040998 -        out of hand, and which can be purchased over-the-counter at the
040999 -        drug store?
041000 -
041001 -            [On 090701 1218 Millie suffered breathing problems again
041002 -            from persistent cough, and asked UCSF for treatment again.
041003 -            ref SDS 6 NU3X
041005 -             ..
041006 -            [On 090708 0301 Doctor Johnson calls and advises that
041007 -            Kaiser has also ordered a pulmonary funciton test (PFT) to
041008 -            further evaluate Millie's breathing problems. ref SDS 8
041009 -            FS6G
041011 -         ..
041012 -   10.  I got word that you are out of the office, so I hope you are on
041013 -        vacation and having a good time.  Please don't feel need to
041014 -        respond.  This is just new patient history on the lung issue.
041015 -
041022 -
041023 -
041024 -
041025 -
041026 -
041027 -
0411 -