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: October 31, 2009 07:30 AM Saturday;
Rod Welch
Heart surgery develop plans to also resolve achalasia.
1...Summary/Objective
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CONTACTS
SUBJECTS
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0404 - Summary/Objective
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040501 - Follow up ref SDS 12 0000. ref SDS 11 0000.
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0412 - Progress
0413 -
041301 - Saw Joe this morning first thing while walking the hallways.
041302 -
041303 - Asked about progress planning discharge?
041305 - ..
041306 - Joe seemed to say "Rod we are not going to let you out until after
041307 - Doctor Stewart performs surgery to repair achalasia, which will be
041308 - next Friday, in about 6 days.?
041310 - ..
041311 - This was semi-good news. Getting a firm schedule for the surgery to
041312 - fix the LES in a week was very good news.
041314 - ..
041315 - Seemed conflicting with prior discussions that Doctor Stewart would
041316 - coordinate with Elaine Tsenge on how soon the surgery could be done.
041317 - Was difficult to imagine that Doctor Stewart had met with Doctor Tseng
041318 - yesterday, since Doctor Tseng was off-site all day, and Doctor
041319 - Radcliff was filling in. Even if Doctor Tseng is now back from her
041320 - week off, seems like Doctor Stewart would not be available to schedule
041321 - the work on achalasia.
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041701 - Doctor Elaine Tseng visited.
041702 -
041703 - She made a brief examination of the chest incision, and was pleased to
041704 - see good progress healing, with no evident signs of problems.
041706 - ..
041707 - The doctor was familiar with dicussions yesterday on fixing the
041708 - achalasia problem as a component of patient recovery from heart
041709 - surgery.
041711 - ..
041712 - She said that Doctor Stewart has not yet talked to her about how soon
041713 - after heart surgery the achalasia operation can be performed.
041715 - ..
041716 - Elaine said she expects to have these discussions on Monday, and that
041717 - the operation to fix achalasia will be scheduled in 2 - 3 weeks. Was
041718 - not clear she was saying 2 - 3 weeks after heart surgery, since
041719 - already 1 week has expired, or if that means another 2 - 3 weeks from
041720 - today.
041722 - ..
041723 - The doctor explained discussions with the team to transfer the patient
041724 - to an outside care unit in the Concord area, where the feeding tube
041725 - system can continue to be used for 12 hours per day to maintain
041726 - nutrition needed for the heart surgery to heal enough to have the
041727 - surgery for the achalasia. The doctor really didn't say how long this
041728 - would be, except imply the work would be done as soon as possible,
041729 - which means nothing.
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