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 16, 2013 08:00 AM Wednesday;
Rod Welch
Dental examination and cleaning Graham Dental Offices.
1...Summary/Objective
2...Dental Care Leveraged Doctor Patient Partnership Collaboration
3...Teeth Cleaning and Examination No New Cavities Found
4...Patient History Missing Teeth, Implant, Root Canal
5...Xrays Scheduled in 6 Months Evaluate Patient Dental Status
6...Tooth #9 Slight Decay Schedule Repair in 6 Months Cost about $40
7...Periodontal Chart 6 Pockets of 6 May Require Referral Periodontist
8...Flossing Difficult for Small Mouth
9...Dental Pick Adequate Substitute for Conventional Flossing
10...Richard Doing Better After Numerous Close Calls
11...Medical Chart Receive from Graham Dental Offices
12...Progress Notes Receive from Graham Dental Offices
13...Quality Care Survey Applies Efficiencies Electronic Communications
..............
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CONTACTS
0201 - Graham Dental Offices
020101 - Mr. David A Graham, DDS; Dentist
020103 - Executive Office
SUBJECTS
Dental Examination Cleaning No New Cavities Decay Found Geographic T
6103 -
6103 - ..
6104 - Summary/Objective
6105 -
610501 - Follow up ref SDS 48 0000. ref SDS 46 0000.
610502 -
610503 - Doctor David Graham provided dental services today, as requested in
610504 - agenda submitted on 131002. This communication provided effective
610505 - doctor patient partnership. ref SDS 0 004T David performed teeth
610506 - cleaning and examination; no new cavity issues presented. ref SDS 0
610507 - OT6G Xrays scheduled in 6 months, along with repair slight cavity on
610508 - #9 for approximate cost $40, absent complications. ref SDS 0 ES7M
610509 - Periodontal examination found improvement with reduced pockets,
610510 - attributed to using electric toothbrush, recommended previously by
610511 - Graham Dental. ref SDS 0 MY4I Rising pockets in back teeth,
610512 - ref SDS 0 RV5N, requires resuming use of dental pick to clean gums on
610513 - back teeth. ref SDS 0 P36J Scheduled next meeting on 140416 0800.
610514 - ref SDS 0 ES7G Received Progress Notes that support doctor/patient
610515 - partnership for following up critical issues. ref SDS 0 LB6N
610517 - ..
610518 - [On 131022 1123 submit patient history meeting with Graham
610519 - Dental and commend excellent work today. ref SDS 50 E474
610521 - ..
610522 - [On 131103 1620 received invoice for $104, and paid amount
610523 - due. ref SDS 52 EI8F
610524 -
610525 -
610526 -
610527 -
610528 -
610530 - ..
6106 -
6107 -
6108 - Background
6109 -
610901 - Background on prior work is listed on 100514 0730. ref SDS 29 VH5N
610903 - ..
610904 - On 110928 0800 dental examination, cleaning, ref SDS 37 8659, and
610905 - periodontal chart shows good oral hygeine has restored gum health.
610906 - ref SDS 37 6Z3V
610908 - ..
610909 - On 110929 2028 letter from Graham Dental received medical chart
610910 - progress notes, ref SDS 38 VT5I, for work on 110928. ref SDS 37 534L
610912 - ..
610913 - On 110930 2246 letter to Graham Dental submits questions on issues in
610914 - progress notes for work on 110928. ref SDS 39 VT5I
610916 - ..
610917 - On 111022 1923 received and paid invoice for dental services performed
610918 - today on 110928. ref SDS 40 004T
610920 - ..
610921 - On 111025 1928 letter from Lynn at Graham Dental reports medical chart
610922 - progress notes for meeting on 110928 were submitted previously on
610923 - 110929. ref SDS 41 VT5I
610925 - ..
610926 - On 111026 1022 submit letter to Lynn at Graham Dental with questions
610927 - and action items on medical chart and progress notes for meeting
610928 - performing dental examination 110928. ref SDS 42 VT5I
610930 - ..
610931 - On 120404 0800 dental examination, cleaning. ref SDS 44 004T
610933 - ..
610934 - On 121010 0800 dental examination, cleaning and xrays showing no
610935 - evident progression of decay. ref SDS 46 O75H
610937 - ..
610938 - On 130417 0800 dental examination, cleaning, defer fillings recover
610939 - from cavity past 18 months on tooth #13, and defer treatment new
610940 - cavity reported on #9; evaluate in 6 months. ref SDS 47 DQ90
610942 - ..
610943 - On 131016 Doctor David Graham performed teeth cleaning and
610944 - examination; no new cavity issues presented. ref SDS 0 OT6G Xrays
610945 - scheduled in 6 months, along with repair slight cavity on #9 for
610946 - approximate cost $40, absent complications. ref SDS 0 ES7M
610947 - Periodontal examination found improvement with reduced pockets,
610948 - attributed to using electric toothbrush, recommended previously by
610949 - Graham Dental. ref SDS 0 MY4I Rising pockets in back teeth,
610950 - ref SDS 0 RV5N, requires resuming use of dental pick to clean gums on
610951 - back teeth. ref SDS 0 P36J Scheduled next meeting on 140416 0800.
610952 - ref SDS 0 ES7G Received Progress Notes that support doctor/patient
610953 - partnership for following up critical issues. ref SDS 0 LB6N
610954 -
610955 -
610956 -
610957 -
610958 -
610960 - ..
6110 -
6111 -
6112 - Progress
6113 -
611301 - Dental Care Leveraged Doctor Patient Partnership Collaboration
611302 -
611303 - Follow up ref SDS 48 004T, ref SDS 46 004T.
611304 -
611305 - Agenda for the meeting today was submitted to Graham Dental on 131002
611306 - 0850, ref SDS 49 L54M, citing patient history for meeting on 130417
611307 - 0800, ref SDS 47 004T, and review of Graham Dental Progress Notes.
611308 -
611309 - [...below on 131016 0800 at 1501 receive Progress Notes for
611310 - meeting today. ref SDS 0 534L
611312 - ..
611313 - Lynn was out sick today.
611315 - ..
611316 - Scheduled next meeting in April 16, 2014 0800.
611317 -
611318 - [...below on 131016 0800 at 1501 receive letter from Graham
611319 - Dental confirming next meeting for cleaning, xrays, and
611320 - filling on #9 scheduled on 140416 0800. ref SDS 0 QB55
611322 - ..
611323 - Excellent work today with Doctor David Graham, as requested in the
611324 - letter on 131002 0850. ref SDS 49 K669 David performed dental
611325 - examination in this case previously on 110202 0800. ref SDS 33 O764
611327 - ..
611328 - David indicated he is teaching at UCSF Dental College tomorrow. He is
611329 - worried today that BART strike might occur tomorrow. It will make the
611330 - commute to San Francisco very difficult.
611332 - ..
611333 - Currently, the employee union has delayed striking after several
611334 - deadlines have passed, likely to avoid unpopular publicity during
611335 - national budget impasse between the Administration and Congress.
611336 -
611337 -
611339 - ..
611340 - Teeth Cleaning and Examination No New Cavities Found
611341 - Patient History Missing Teeth, Implant, Root Canal
611342 -
611343 - David performed teeth cleaning today. He found no new dental medical
611344 - issues.
611346 - ..
611347 - Geographic tongue was reported again, following up prior findings in
611348 - the record on 121010 0800. ref SDS 45 N13L During the meeting, David
611349 - found an explanation in a professional book that seemed similar to
611350 - research indicating it is relatively rare, is benign, and there is no
611351 - treatment, shown also on 121010 0800. ref SDS 45 5M4I
611353 - ..
611354 - David asked why tooth #2 is missing?
611356 - ..
611357 - Explained the last 4 teeth (1 and 32, 16 and 17) were removed during
611358 - military service in 1967, because these teeth were cracked. Army
611359 - dentists indicated patient mouth was too small for standard 32 teeth.
611361 - ..
611362 - In 2009, David was consulted and recommended extraction of tooth #2
611363 - with bone graft to prepare for implant, if needed at a later time,
611364 - reported on 090302 0815. ref SDS 16 H68W Extraction of #2 and bone
611365 - graft were performed by Doctor Meyer at Steven Olsen's office on
611366 - 090306 0800. ref SDS 17 J55O
611368 - ..
611369 - Root canal work was performed for #19 about 4 years earlier on 050519
611370 - 1717. ref SDS 11 C476
611371 -
611372 -
611373 -
6114 -
SUBJECTS
Dental Exam Find Tooth #13 No Decay Filling Not Required Tooth #9 Sl
7703 -
770401 - ..
770402 - Xrays Scheduled in 6 Months Evaluate Patient Dental Status
770403 - Tooth #9 Slight Decay Schedule Repair in 6 Months Cost about $40
770404 -
770405 - Today, David examined tooth #13 and #9, discussed during prior
770406 - meetings at Graham dental, most recently on 130417 0800. ref SDS 47
770407 - DQ90 He indicated #13 does not show evidence of decay, and so no
770408 - filling is needed.
770410 - ..
770411 - Tooth #9 shows slight decay.
770413 - ..
770414 - Discussed xrays to assess tooth decay rate of progression on #9 and
770415 - #13, presented in the letter to Graham Dental on 131002 0850.
770416 - ref SDS 49 K669
770418 - ..
770419 - David said decay on tooth #9 is hidden from xray technology. As a
770420 - result, he feels xrays are not needed today. David suggested doing
770421 - xrays during the next meeting in April 2014.
770422 -
770423 - [...below on 131016 0800 at 1501 receive letter from Graham
770424 - Dental confirming next meeting for cleaning, xrays, and
770425 - filling on #9 scheduled on 140416 0800. ref SDS 0 QB55
770427 - ..
770428 - David could not estimate the increase in decay over the past 6 - 12
770429 - months, because he has not previously examined the tooth.
770431 - ..
770432 - David quoted about $40 to repair minor decay on tooth #9, revising
770433 - prior proposal on 130417 0800. ref SDS 48 XM3O
770434 -
770435 - [...below on 131016 0800 at 1501 receive letter from Graham
770436 - Dental confirming quote of $40 to repair filling on #9
770437 - scheduled on 140416 0800. ref SDS 0 LB7R
770439 - ..
770440 - [On 140416 0800 Graham Dental repaired 2 small cavities
770441 - seemingly on upper front teeth near gum line, but not
770442 - identified in Progress Notes. ref SDS 55 AK4I
770444 - ..
770445 - He said the dental office has allocated time to perform the filling on
770446 - #9, or do teeth cleaning, but not perform both today.
770448 - ..
770449 - Decided to do cleaning today. In 6 months, dental offices will
770450 - allocate enough time to do regular cleaning, and also to do the small
770451 - filling on tooth #9.
770452 -
770453 - [...below on 131016 0800 at 1501 receive letter from Graham
770454 - Dental confirming next meeting for cleaning, xrays, and
770455 - filling on #9 scheduled on 140416 0800. ref SDS 0 QB55
770457 - ..
770458 - [On 140410 0910 agenda for meeting on 140416 includes xrays
770459 - and repair #9. ref SDS 53 0Y7V
770461 - ..
770462 - [On 140416 0800 tooth #9 filling was performed, a second
770463 - filling was done on another tooth; work seemed to take
770464 - about 10 minutes, ref SDS 54 PR7K and further reported in
770465 - the same record. ref SDS 55 AK4I
770466 -
770467 -
770468 -
860409 - ..
860410 - Commended Mark's dental practice working with him the past few years
860411 - at Graham Dental, e.g., on 130417 0800. ref SDS 47 KT6H
860412 -
860413 -
860414 -
860415 -
860416 -
8605 -
SUBJECTS
Dental Peridontal Examination Electric Toothbrush Improves Improves
AM03 -
AM0401 - ..
AM0402 - Periodontal Chart 6 Pockets of 6 May Require Referral Periodontist
AM0403 -
AM0404 - Follow up ref SDS 36 6Z3V.
AM0405 -
AM0406 - The doctor checked peridontal gum pockets and found major increase in
AM0407 - 6s - a total of 6 sites. Increased gum pockets seems conflicting with
AM0408 - patient history showing very few pocket depths of 6 since completion
AM0409 - of deep cleaning by Doctor Taggart on 880419 0930. ref SDS 1 0001
AM0410 - Increased gum pocket depths of 6 further conflicts with switching to
AM0411 - electric toothbrush, reported to Graham Dental during the meeting on
AM0412 - 120404 0800, ref SDS 44 PH5J, and again in the letter dated 130416
AM0413 - 0143, ref SDS 47 4Z7J Mentioned Richard's comment that the electric
AM0414 - toothbrush is a major advance in dental care. David feels the timing
AM0415 - feature makes electric toothbrushing effective by reminding to brush
AM0416 - uniformly long enough to be effective.
AM0418 - ..
AM0419 - Prior periodontal examinations showed...
AM0420 -
AM0421 - 131016............. 6s = 6 ........... ref SDS 0 MY4I
AM0422 - 110928............. 6s = 0 ........... ref SDS 36 6Z3V
AM0423 - 100325............. 6s = 0 ........... ref SDS 26 SW66
AM0424 - 990503............. 6s = 0 ........... ref SDS 7 3750
AM0425 - 980330............. 6s = 0 ........... ref SDS 6 1151
AM0426 - 970324............. 6s = 0 ........... ref SDS 5 0001
AM0427 - 950605............. 6s = 0 ........... ref SDS 4 007U
AM0428 - 910218............. 6s = 0 ........... ref SDS 2 0001
AM0429 - 880419............. 6s = some......... ref SDS 1 0001
AM0431 - ..
AM0432 - Increased gum pockets > 5 may align with natural aging process; this
AM0433 - might be expected to occur more gradually than represented by
AM0434 - periodontal charting today...
AM0436 - ..
AM0437 - Perio Chart
AM0439 - Date................................... 131016 1156
AM0442 - Exam Date.............................. 131016
AM0443 -
AM0444 - [...below on 131016 0800 at 1514 receive Periodontal Chart
AM0445 - attached to letter received from Graham Dental. ref SDS 0
AM0446 - IP4I
AM0448 - ..
AM0449 - Tooth 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
AM0450 - MOB
AM0451 - PD 2 2 4 4 2 3 3 2 3 3 2 3 2 2 3 3 2 2 2 2 3 3 2 4 3 2 3 3 2 4 5 2 4 4 2 4 3 2 2
AM0452 - GM
AM0453 - ..
AM0454 - CAL 2 2 4 4 2 3 3 2 3 2 2 3 2 2 3 3 2 2 2 2 3 3 2 4 3 2 3 3 2 4 5 2 4 4 2 4 3 2 2
AM0455 - MGJ
AM0456 - ..
AM0457 - BCI 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000
AM0458 - +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+
AM0459 - |\ /| |\ /| |\ /| | | | | | | | | | | | | | | | | | | | | | | | | |\ /| |\ /| |\ /|
AM0460 - FG | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
AM0461 - | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
AM0462 - +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+
AM0463 - Ling 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000
AM0464 - ..
AM0465 - MOB
AM0466 - PD 3 2 5 6 2 4 3 2 2 2 2 2 3 2 2 2 2 3 3 2 3 3 2 3 2 2 2 2 2 3 3 2 3 3 2 4 4 2 3
AM0467 - GM
AM0468 - CAL 3 2 5 6 2 4 3 2 2 2 2 2 3 2 2 2 2 3 3 2 3 3 2 3 2 2 2 2 2 3 3 2 3 3 2 4 4 2 3
AM0469 - MGJ
AM0470 - ..
AM0471 - Tooth 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
AM0472 -
AM0474 - ..
AM0475 - Tooth 32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17
AM0476 - MOB
AM0477 - PD 3 3 6 6 3 3 3 2 3 2 2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 3 1 2 2 2 3 3 3 6 6 2 3
AM0478 - GM
AM0479 - CAL 3 3 6 6 3 3 3 2 3 2 2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 3 1 2 2 2 3 3 3 6 6 2 3
AM0480 - MGJ
AM0481 - ..
AM0482 - BCI 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000
AM0483 - +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+
AM0484 - | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |\ /| |\ /| |\ /|
AM0485 - FG |---| |---| |---| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
AM0486 - | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
AM0487 - +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+ +---+
AM0488 - Ling 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000 000
AM0490 - ..
AM0491 - MOB
AM0492 - PD 3 3 5 5 2 4 4 2 2 3 2 3 3 2 2 3 1 3 3 2 2 3 2 2 1 3 3 3 3 2 2 2 2 3 1 4 4 2 6 6 2 2
AM0493 - GM
AM0494 - CAL 3 3 5 5 2 4 4 2 2 3 2 3 3 2 2 3 1 3 3 2 2 3 2 3 1 3 3 3 3 2 2 2 2 3 1 4 4 2 6 6 2 2
AM0495 - MGJ
AM0496 - Tooth 32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17
AM0497 -
AM0499 - ..
AM0500 - Summary Information
AM0501 -
AM0502 - 1. Date........................................ 131016
AM0503 -
AM0504 - 2. Bleeding
AM0505 - Teeth....................................... 0
AM0506 - Sites....................................... 0
AM0508 - ..
AM0509 - 3. PD Alert
AM0510 - Teeth....................................... 7
AM0511 - Sites....................................... 11
AM0513 - ..
AM0514 - 4. CAL 1-3
AM0515 - Teeth....................................... 27
AM0516 - Sites...................................... 137
AM0518 - ..
AM0519 - 5. CAL 4-5
AM0520 - Teeth....................................... 12
AM0521 - Sites...................................... 18
AM0523 - ..
AM0524 - 6. CAL 6+
AM0525 - Teeth....................................... 5
AM0526 - Sites...................................... 7
AM0528 - ..
AM0529 - Periodontal examination finding "Bleeding teeth" and "sites" = 0
AM0530 - aligns with report today that bleeding gums caused by cleaning teeth
AM0531 - with metal dental pick does not occur from routine daily activity,
AM0532 - including eating, vigorous brushing, and flossing with dental pick for
AM0533 - past 15 years, reported to Graham Dental on 110202 0800. ref SDS 32
AM0534 - UD5J
AM0536 - ..
AM0537 - The doctor indicated that peridontal examination today, finding 5
AM0538 - teeth measuring 6 mm gum pockets, and others at 5 mm, ref SDS 0 GW59,
AM0539 - will require referral to peridontist, if not improved for next meeting
AM0540 - in 6 months. This aligns with examination listing "Periodontal Alert"
AM0541 - = 7. ref SDS 0 GW4O
AM0542 -
AM0543 - [...below on 131016 0800 Doctor's Progress Notes say that
AM0544 - worsening pockets in Periodontal Chart will require
AM0545 - referral to Peridontist. ref SDS 0 LB81
AM0547 - ..
AM0548 - Patient periodontal history of deep cleaning recovered from gum
AM0549 - pockets 8 mm+, performed on 880419 0930, ref SDS 3 0001, and was
AM0550 - reported to Graham Dental during the meeting 2 years ago on 110202
AM0551 - 0800. ref SDS 32 UD5J
AM0553 - ..
AM0554 - Research on the Internet supports David's concern today about pockets
AM0555 - exceeding 4+ mm...
AM0556 -
AM0557 - Wikipedia
AM0558 -
AM0559 - http://en.wikipedia.org/wiki/Gingival_and_periodontal_pocket#Gingival_pocket
AM0561 - ..
AM0562 - Periodontal pocket[edit]
AM0564 - ..
AM0565 - To have a true periodontal pocket, a probing measurement of 4
AM0566 - mm or more must be clinically evidenced. In this state, much
AM0567 - of the gingival fibers that initially attached the gingival
AM0568 - tissue to the tooth have been irreversibly destroyed. The
AM0569 - depth of the periodontal pockets must be recorded in the
AM0570 - patient record for proper monitoring of periodontal disease.
AM0571 -
AM0572 -
AM0573 -
AM06 -
SUBJECTS
Floss Difficult Small Mouth Use Dental Pick Back Teeth Reduce Pocket
BK03 -
BK0401 - ..
BK0402 - Flossing Difficult for Small Mouth
BK0403 -
BK0404 - Doctor Graham completed the cleaning with flossing procedure.
BK0406 - ..
BK0407 - There was difficulty reaching rear teeth due to opening limitations.
BK0408 - Stretching the mouth caused patient trauma from significant efforts by
BK0409 - the doctor changing position for leverage to reach rear teeth.
BK0411 - ..
BK0412 - David strongly advocates flossing to repair and avoid severe gum
BK0413 - pockets 6 mm, shown in peridontal examination, above. ref SDS 0 MY4I
BK0414 - He explained how small food particles wedged between teeth, cause
BK0415 - disease that swells gums. David further noted poor dental hygiene has
BK0416 - been associated with coronary artery disease (CAD), commenting that
BK0417 - seemingly disparate body systems are interrelated.
BK0418 -
BK0419 - [...below on 131016 0800 at 1510 Progress Notes report
BK0420 - benefits of flossing, and that this can be accomplished
BK0421 - with toothpick; for some reason no mention is presented on
BK0422 - discussion using dental pick. ref SDS 0 LB81
BK0424 - ..
BK0425 - Flossing has been discussed continuously with Graham Dental, e.g., on
BK0426 - 120404 0800. ref SDS 44 KU63
BK0428 - ..
BK0429 - The doctor cited customer's evident proactive health practice,
BK0430 - indicated with report hiking Half Dome, shown in the letter to Graham
BK0431 - Dental on 131002 0850, ref SDS 49 K66V, and further shown in case
BK0432 - study tracking daily diet, exercise and vitals the past 4 years,
BK0433 - reported on 120101 0900. ref SDS 43 QJ5I
BK0435 - ..
BK0436 - Reviewed challenges using conventional flossing methods with small
BK0437 - mouth, discussed, above, ref SDS 0 OT6G, and which David noticed
BK0438 - performing flossing services earlier today, above. ref SDS 0 675O
BK0439 -
BK0440 -
BK0442 - ..
BK0443 - Dental Pick Adequate Substitute for Conventional Flossing
BK0444 -
BK0445 - David explained that a dental pick is adequate for flossing the back
BK0446 - teeth that are hard to reach with conventional flossing materials and
BK0447 - methods.
BK0448 -
BK0449 - [...below on 131016 0800 at 1510 medical chart reports
BK0450 - benefits of flossing can be accomplished with toothpick;
BK0451 - for some reason no mention is presented on discussion using
BK0452 - dental pick. ref SDS 0 LB81
BK0454 - ..
BK0455 - Further reviewed patient history the past 30 years using dental pick
BK0456 - to replace conventional flossing to control gum pockets, shown by
BK0457 - prior peridontal charts, e.g., on 110202 0800. ref SDS 33 UD5J
BK0459 - ..
BK0460 - Peridontal examination today finding increased gum pockets,
BK0461 - ref SDS 0 RV5N, aligns with reduced use of dental pick past year
BK0462 - attributed to clinical trial that increased hiking from 100 to 300
BK0463 - miles per month for weight loss that reduces LDL cholesterol without
BK0464 - medication. Heart surgery on 091022 0700, ref SDS 23 01F9, made
BK0465 - coronary artery disease top health priority for survival and quality
BK0466 - of life. Results of lab yesterday will guide further coronary health
BK0467 - practices. It is not easy to give everything 100% attention.
BK0469 - ..
BK0470 - Meat wedged between back teeth typically reminds to use the dental
BK0471 - pick. Patient history the past several years shows declining meat in
BK0472 - daily diet, reported in case study on 120101 0900. ref SDS 43 QJ5I
BK0473 - This change reduced prior awareness that periodontal disease may be
BK0474 - occuring in rear teeth, and thereby reduced using dental pick to clean
BK0475 - back teeth, possibly contributing to increased periodontal pockets.
BK0477 - ..
BK0478 - Accordingly, rising gum pockets reported today focuses attention to
BK0479 - use dental pick more regularly on back teeth. Can as well concentrate
BK0480 - more time on back teeth with electric toothbrush to strengthen gums.
BK0481 -
BK0482 - [...below on 131016 0800 at 1510 medical chart reports
BK0483 - benefits of flossing can be accomplished with toothpick;
BK0484 - for some reason no mention is presented on discussion using
BK0485 - dental pick. ref SDS 0 LB81
BK0486 -
BK0487 -
BK0488 -
BQ0438 -
BQ0439 -
BQ0440 -
BQ05 -
SUBJECTS
Diabetes Recovery Doing Better Past 6 Months
BW03 -
BW0401 - ..
BW0402 - Richard Doing Better After Numerous Close Calls
BW0403 -
BW0404 - David asked how Richard is doing?
BW0406 - ..
BW0407 - Explained miraculous recovery Richard has made this past 6 months. He
BW0408 - remains in sub-critical condition due to advancing diabetes, but has
BW0409 - remarkable energy and interest in daily life, reported in recent call
BW0410 - on 130719 1300. ref SDS 49 F25H
BW0411 -
BW0412 -
BW0413 -
BW0414 -
BW0415 -
BW0416 -
BW05 -
SUBJECTS
Medical Chart Received Reviewed Graham Dental Services Dental Examin
D203 -
D204 - 1510
D20501 - ..
D20502 - Medical Chart Receive from Graham Dental Offices
D20503 - Progress Notes Receive from Graham Dental Offices
D20504 -
D20505 - Follow up ref SDS 45 534L, ref SDS 46 534L.
D20507 - ..
D20508 - Medical chart received...
D20509 -
D20510 - 1. Subject: progress notes
D20511 - Date: Wed, 16 Oct 2013 12:04:41 -0700 (PDT)
D20515 - ..
D20516 - 2. Rod,
D20518 - ..
D20519 - 3. Your next appointment is on April 16 at 8 AM with Dr David
D20520 - Graham for an hour and a half to clean your teeth, take xrays
D20521 - and do the filling on #8 distal. Here are the progress notes
D20522 - from your appointment with my dad this morning:
D20524 - ..
D20525 - Scheduling next meeting on 140416, aligns with the meeting this
D20526 - morning at Graham Dental, above. ref SDS 0 ES7G
D20527 -
D20528 - [On 140410 0910 agenda for meeting on 140416 includes xrays
D20529 - and repair #9. ref SDS 53 0Y7V
D20531 - ..
D20532 - Confirms work plan to take xrays in 6 months. ref SDS 0 KQ6M
D20534 - ..
D20535 - Filling will be performed on #9, per above. ref SDS 0 3Q8H
D20537 - ..
D20538 - Progress Notes continue
D20539 -
D20540 - 4. 10/15/13-Visual exam for caries and oral cancer-within normal
D20541 - limits. Discussed geographic tongue lesions with Rod.
D20543 - ..
D20544 - Aligns with patient history during the meeting earlier today, above.
D20545 - ref SDS 0 OT6G
D20547 - ..
D20548 - Progress notes today present in clear, concise explanations on
D20549 - critical issues that support doctor/patient partnership for timely,
D20550 - effective follow up.
D20552 - ..
D20553 - Progress Notes continue
D20554 -
D20555 - 5. Patient agrees to take bitewing radiographs at 6 month visit
D20556 - and to have #9 distal gingival filled. Quoted $40 for this
D20557 - filling if it can be patched and is not spreading beneath
D20558 - existing distal composite filling.
D20559 -
D20560 - [On 140410 0910 agenda for meeting on 140416 includes xrays
D20561 - and repair #9. ref SDS 53 0Y7V
D20563 - ..
D20564 - 6. Performed scaling and prophylaxis.
D20566 - ..
D20567 - 7. Discussed with Rod that he has chronic localized moderate
D20568 - periodontitis (gum disease.) He is using an electric
D20569 - toothbrush but admits to not flossing. I stressed that he
D20570 - needs to floss or use a toothpick between teeth daily.
D20572 - ..
D20573 - This aligns with record on peridontal examination reviewed during the
D20574 - meeting earlier today, above. ref SDS 0 MY46
D20576 - ..
D20577 - 8. Updated perio chart today. Molar areas have 5-6 mm pockets. I
D20578 - told Rod that if pocket depths do not decrease that we would
D20579 - have to refer him to a periodontist at the next visit. DG
D20580 - 22152
D20582 - ..
D20583 - This aligns with record on peridontal examination reviewed during the
D20584 - meeting earlier today, above, ref SDS 0 GW59, and with discussion
D20585 - during examination. ref SDS 0 KE9O
D20587 - ..
D20588 - 9. David & Mark Graham, DDS
D20589 - 520 La Gonda Way, Suite 102
D20590 - Danville, Ca. 94526
D20591 - (925) 820-3000
D20592 - grahamdds@att.net
D20594 - ..
D20595 - 10. Any personal health information contained in this email is
D20596 - priveleged and confidential. It is intended for the exclusive
D20597 - use of the addressee. It is for use only to aid in providing
D20598 - specific healthcare services to the recipient of this mailing.
D20599 - Any other use may constitute a violation of Federal Law
D20600 - (HIPAA). If you are NOT the intended recipient, please notify
D20601 - the sender immediately and destroy this message.
D20602 -
D20604 - ..
D207 -
D208 -
D209 - 1514
D210 -
D21001 - Received another letter from Graham Dental saying...
D21002 -
D21003 - 1. Subject: perio chart
D21004 - Date: Wed, 16 Oct 2013 12:09:40 -0700 (PDT)
D21008 - ..
D21009 - 2. Attached is your periodontal chart from today. ref SDS 0 9Q5I
D21011 - ..
D21012 - Periodontal chart is reviewed above. ref SDS 0 YX7I
D21014 - ..
D21015 - 3. David & Mark Graham, DDS
D21016 - 520 La Gonda Way, Suite 102
D21017 - Danville, Ca. 94526
D21018 - (925) 820-3000
D21019 - grahamdds@att.net
D21020 -
D21022 - ..
D21023 - 4. Any personal health information contained in this email is
D21024 - priveleged and confidential. It is intended for the exclusive
D21025 - use of the addressee. It is for use only to aid in providing
D21026 - specific healthcare services to the recipient of this mailing.
D21027 - Any other use may constitute a violation of Federal Law
D21028 - (HIPAA). If you are NOT the intended recipient, please notify
D21029 - the sender immediately and destroy this message.
D21031 - ..
D21032 - perio chart.pdf, ref SDS 0 9Q5I
D21034 - ..
D21035 - 5. Content-Type:
D21036 - application/pdf
D21037 - Content-Encoding:
D21038 - base64
D21039 -
D21040 -
D21041 -
D21043 - ..
D211 -
D212 -
D213 - 1504
D214 -
D21401 - Quality Care Survey Applies Efficiencies Electronic Communications
D21402 -
D21403 - Follow up ref SDS 45 P55M, ref SDS 46 P55M.
D21404 -
D21405 - Few days after meeting today, received letter from Graham Dental
D21406 - Offices....
D21407 -
D21408 - 1. Subject: How was your experience at David and Mark Graham, DDS?
D21409 - Date: Fri, 18 Oct 2013 05:19:00 -0700 (PDT)
D21413 - ..
D21414 - 2. Dear Rod,
D21416 - ..
D21417 - 3. Thank you for visiting us at David and Mark Graham, DDS. We
D21418 - appreciate your business and value you as a patient. To help us
D21419 - continue our high quality of service, we invite you to click
D21420 - here to submit a review and take a brief survey.
D21421 -
D21422 - https://www.demandforce.com/e/review?d3cp_key=2431246F6E64656D616E64244F4335684A637A4B36624D494E37516E397A51396931&d3cp_query=6DA0433A9D4C823E04CC77AFDC189F4AFF2D06274B066B21F9B35BFAC07871757CD66DC21E499B70F8347660C5B7C693A67F294E7C4E0B78918C51E88FC958F959C9279020B5C59DE9954D37EC4456024630DCF14F3128CC4FE87A4E5A7C096140DC753416342B243CAD8B524721BD19C0407056C1050E3A8A7F57D0EF8613DB6A356928D689776F6D6E9068E9F1AE6178C7155B2BC880E92B3CC8C194E4696855E3B858C2AC826210BB75E85EE 2D83527D793E9DDFD5713A77FB158AB0FF0838E126B5327CFEAE2D82CE35AC77AAB701862F86DC1CF8A83C78C72B1B41E5990
D21424 - ..
D21425 - Filled out this form online, citing the record showing excellent
D21426 - health care services by Graham Dental offices.
D21428 - ..
D21429 - Letter from Graham Dental continues...
D21430 -
D21431 - 4. We look forward to seeing you at your next appointment.
D21433 - ..
D21434 - 5. Sincerely,
D21436 - ..
D21437 - 6. David and Mark Graham, DDS
D21438 - (925) 820-3000
D21439 - grahamdds@att.net
D21440 -
D21441 - http://www.demandforce.com/dentist/160000773
D21443 - ..
D21444 - 7. Copyright 2009. Demandforce, Inc.
D21445 -
D21446 - http://www.demandforce.com
D21448 - ..
D21449 - 8. To remove yourself from future mailings, please visit this
D21450 - website:
D21451 -
D21452 - https://www.demandforce.com/b/home/unsubscribe.jsp?d3cp_key=2431246F6E64656D616E64244F4335684A637A4B36624D494E37516E397A51396931&d3cp_query=6DA0433A9D4C823E04CC77AFDC189F4AFF2D06274B066B21F9B35BFAC07871757CD66DC21E499B70F8347660C5B7C693A67F294E7C4E0B78918C51E88FC958F959C9279020B5C59DE9954D37EC4456024630DCF14F3128CC4FE87A4E5A7C096140DC753416342B243CAD8B524721BD19C0407056C1050E3A8A7F57D0EF8613DB6A356928D689776F6D6E9068E9F1AE6178C7155B2BC880E92B3CC8C194E4696855E3B858C2AC8 2621E85EE2D83D5165527D793E9DDFD5713A77FB158AB0FF0838E126B5327CFEAE2D82CE35AC77AAB701862F86DC1CF8A83C7
D21453 -
D21454 -
D21455 -
D21456 -
D21457 -
D21458 -
D21459 -
D21460 -
D21461 -
D21462 -
D21463 -
D21464 -
D21465 -
D21466 -
D215 -
Distribution. . . . See "CONTACTS"