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: December 21, 2009 03:32 PM Monday; Rod Welch

Isagani called schedule meeting Doctor Stewart at VA on Jan 5th review
recovery from surgery to resolve achalasia.

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 ref SDS 30 0000. ref SDS 29 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040507 -
040509 -  ..
0406 -
0407 -
0408 - Background
0409 -
040901 - On 091103 Paula reported the VA has scheduled a meeting today with
040902 - Doctor Stewart for planning Heller Myotomy surgery to correct
040903 - achalasia problem. ref SDS 17 PS60  On 091104 0718 Medical Chart
040904 - discharge guidance lists meeting with Doctor Stewart 091117 1300,
040905 - which conflicts with patient history today. ref SDS 18 Q03J  On 091119
040906 - 1000 Erick confirmed visit with Doctor Stewart on 091208, and is
040907 - reviewing date of surgery scheduled for 091217. ref SDS 20 935H
040909 -  ..
040910 - On 091208 Doctor Stewart advanced the schedule for surgery one day to
040911 - 091216. ref SDS 22 6E41
040913 -  ..
040914 - On 091216 0600 meeting Doctor Stewart for Heller Myotomy surgery to
040915 - correct achalasia; check in at ASU. ref SDS 26 PP8W
040917 -  ..
040918 - On 091217 0600 meeting with Joe and Jon on recovring from Heller
040919 - Myotomy surgery; report of complication during surgery on 091216,
040920 - which was repaired, with plan for test to evaluate recovery. reported
040921 - on 091217 0600, ref SDS 27 0042  Doctor Stewart visited and expects
040922 - can start eating after favorable test. ref SDS 27 027A
040924 -  ..
040925 - On 091218 0600 xray with gastrogafin to evaluate repair for
040926 - complicaiton during Heller Myotomoy surgery Wednesday, ref SDS 28 PP8W,
040928 -  ..
040929 - On 091219 0600 doctor plans discharge tomorrow after evaluating
040930 - progress eating solid food today. ref SDS 29 PP5V  Since now eating
040931 - solid food, switched to oral pill medication to replace IV injections;
040932 - this relieved pain that has been increasing using IV catheters set on
040933 - Wednesday, ref SDS 29 PQPX, and also eliminated need to replace IV
040934 - catheters per TCU protocol. ref SDS 29 7Q55  Doctors prescribed hiking
040935 - to recover from Heller Myotomy surgery resolving achalasia.
040936 - ref SDS 29 7Q6P   Doctor Ratcliff and Neil visit and discussing doing a
040937 - small business trial to apply SDS technology for upgrading VA and UCSF
040938 - case management. ref SDS 29 0M6S  Nurse advises that patient approved
040939 - for moving to a ward for non-critical care, as a predicate to
040940 - discharge, but since there are no rooms available, patient will remain
040941 - in TCU untill a room is available. ref SDS 29 0M8S
040943 -  ..
040944 - On 091220 0527 discharge approved from hospital today. ref SDS 30 PP8W
040945 - Left the hospital about 1220. ref SDS 30 HB5O
040947 -  ..
040948 - On 091221 1532 Isagani called to schedule meeting with Doctor Stewart
040949 - at VA in San Francisco on 100105. ref SDS 0 PP8W
040950 -
040951 -
040952 -
040954 -  ..
0410 -
0411 -
0412 - Progess
0413 -
041301 - Received call from Isagani saying Doctor Stewart wants to meet at the
041302 - VA in San Francisco on 100105 1400.
041304 -  ..
041305 - The meeting will occur in the Clinics, module #2.
041306 -
041307 -        [On 091222 1109 letter from Isagani says meeting with Doctor
041308 -        Stewart is on 100112 1400, not Jan 5th; possibly there are 2
041309 -        meetings scheduled. ref SDS 31 J57K
041311 -  ..
041312 - This implements planning yesterday during the meeting with doctors on
041313 - approving discharge, reported on 091220 0527. ref SDS 30 YP3J
041314 -
041315 -
041316 -
041317 -
041318 -
041319 -
041320 -
0414 -