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: May 29, 2014 09:42 AM Thursday;
Rod Welch
VA letter request Progress Notes and order coronary CTA.
1...Summary/Objective
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CONTACTS
SUBJECTS
CBC Lab WBC VA No Results
2003 -
2003 - ..
2004 - Summary/Objective
2005 -
200501 - Follow up ref SDS 62 0000. ref SDS 59 0000.
200502 -
200503 - Notified Doctor Alba at VA Medical Center in San Francisco placed
200504 - order with Release of Information Department to submit Progress Notes
200505 - for meeting on 140519, so no need for Doctor Alba so submit them.
200506 - ref SDS 0 X45G Recommend correcting errors in prior notes so they are
200507 - carried forward in Progress Notes for meeting on 140519. ref SDS 0
200508 - QF6T Recommend Progress Notes cite patient support to improve lipid
200509 - labs past 6 months, ref SDS 0 QF67, referencing the lab report on
200510 - 140514 0950, ref SDS 59 W25L, which also presents extended exercise,
200511 - weight loss, and diet changes. ref SDS 59 I17G Asked about progress
200512 - getting approval for EPC lab. ref SDS 0 QG3U Request VA order
200513 - coronary CT angiography with calcium score to evaluate regression of
200514 - athersclerosis, as a result of good labs from medication and extended
200515 - exercise the past 6 months. ref SDS 0 QG38
200517 - ..
200518 - [On 140610 0903 request again completion of Progress Notes
200519 - for meeting on 140519, to review for corrections, and guide
200520 - case management. ref SDS 64 X45G
200522 - ..
200523 - [On 140610 0903 VA notifies Progress Notes were published a
200524 - week earlier and without notice to the customer so that
200525 - could continue toward timely completion. ref SDS 65 W84I
200526 -
200527 -
200528 -
200529 -
200531 - ..
2006 -
2007 -
2008 - Background
2009 -
200901 - On 131016 1632 submit letter for agenda meeting to review lab results
200902 - scheduled 131017 1000. ref SDS 35 X45G
200904 - ..
200905 - On 140131 0815 ordered another lab - cbc, electrolytes, lipid with NMR
200906 - - from Labcor to get LDL-P. ref SDS 48 X45G
200908 - ..
200909 - On 140201 1159 had full lab with NMR lipid panel drawn at John Muir
200910 - Hospital on Treat, and by Labcorp. ref SDS 49 RP4N
200912 - ..
200913 - On 140203 1147 had partial lab drawn at VA in Martinez. ref SDS 50
200914 - KK9M
200916 - ..
200917 - On 140507 0857 ordered another full lab from Labcorp with NMR lipid
200918 - panel. ref SDS 56 OO5G
200920 - ..
200921 - On 140508 1133 lab blood daw at Labcorp with John Muir Medical Center
200922 - on Treat Blvd in Concord. ref SDS 57 445G
200924 - ..
200925 - On 140514 0950 VA partial lab at Medical Center in San Francisco.
200926 - ref SDS 59 X45G
200928 - ..
200929 - On 140518 0920 letter to VA submits consolidated blood tests from
200930 - Labcorp on 140508 and the VA on 140514, to prepare for the meeting on
200931 - 140519. ref SDS 61 1V6M Advise that VA has not ordered follow up lab
200932 - to check Electrolytes (Chem Profile) requested by Doctor Egan to
200933 - assess previously elevated potassium (K) 5.6, that cause electrical
200934 - problems for the heart. ref SDS 61 DV4M Medication side effects of
200935 - dizziness have subsided. ref SDS 61 DV50 Dry mouth and urination have
200936 - increased. ref SDS 61 DV56 Peripheral neuropathy related to elevated
200937 - bilirubin has recurred. ref SDS 61 DV59
200939 - ..
200940 - On 140518 0920 at 2244 received letter from Doctor Alba notifying not
200941 - to get blood draw at lab prior to meeting with medical team tomorrow
200942 - morning. ref SDS 61 RW7O
200944 - ..
200945 - On 140520 0732 background and planning for getting supplemental labs
200946 - on electrolyte (Chem Profile), and EPC. ref SDS 62 X45G
200948 - ..
200949 - On 140520 0732 at 0743 letter requests VA order electrolyte (Chem
200950 - Profile) lab order today. ref SDS 62 YW4H, and include lab for EPC.
200951 - ref SDS 62 4U46 Doctor Sandhu notified that medical team in San
200952 - Francisco discusses increased urination indicates possible prostate
200953 - issues. ref SDS 62 4U95 During meeting on 140519, decided that mild
200954 - symptoms peripheral neuropathy possibly due to statin treatment does
200955 - not justify ending statin tratement, because treatments have been
200956 - effective managing lipids. ref SDS 62 4U4F
200958 - ..
200959 - On 140520 0732 at 0812 letter from VA advises Doctor Alba will order
200960 - Chem Profile lab when she arrives at the hospital. ref SDS 62 4V5H
200962 - ..
200963 - On 140520 0732 at 1017 VA partial lab at Medical Center in San
200964 - Franciso for electrolyte (Chem) panel that was omitted on lab 140514.
200965 - ref SDS 62 KK9M Glucose, sodium, potassium declined, with potassium
200966 - (K 5.2) still at high end of range for Labcorp and slightly above VA
200967 - range, ref SDS 62 ZG5O; bilirubin declined dramatically. ref SDS 62
200968 - 015M
200970 - ..
200971 - On 140520 0732 at 1028 VA letter Doctor Alba requests clarification of
200972 - scope for EPC lab. ref SDS 62 654J Called to explain scope of EPC
200973 - lab, but encountered poor connection using cell phone. ref SDS 62 U63N
200975 - ..
200976 - On 140520 0732 at 1609 VA letter - Doctor Alba ordered EPC lab, she
200977 - advises EPC lab requires approval by lab staff of doctor's
200978 - justification. ref SDS 62 AF5L
200980 - ..
200981 - On 140520 0732 at 1617 letter to VA submits justification for doctor
200982 - to submit with order for EPC lab that saves lives, time, and money.
200983 - ref SDS 62 JP8O
200985 - ..
200986 - On 140522 1052 letter to Doctor Egan at Martinez submits results of
200987 - labs on Electrolyte Chem Profile showing Potassium, which Doctor Egan
200988 - requested. ref SDS 63 X45G
200990 - ..
200991 - On 140529 0942 letter to Doctor Alba at VA Medical Center in San
200992 - Francisco adise placed order with Release of Information Department to
200993 - submit Progress Notes for meeting on 140519, so no need for Doctor
200994 - Alba so submit. ref SDS 0 X45G Recommend correcting errors in prior
200995 - notes so they are carried forward in Progress Notes for meeting on
200996 - 140519. ref SDS 0 QF6T Recommend Progress Notes cite patient support
200997 - to improve lipid labs past 6 months, ref SDS 0 QF67, referencing the
200998 - lab report on 140514 0950, ref SDS 59 W25L, which also presents
200999 - extended exercise, weight loss, and diet changes. ref SDS 59 I17G
201000 - Asked about progress getting approval for EPC lab. ref SDS 0 QG3U
201001 - Request VA order coronary CT angiography with calcium score to
201002 - evaluate regression of athersclerosis, as a result of good labs from
201003 - medication and extended exercise the past 6 months. ref SDS 0 QG38
201004 -
201005 -
201007 - ..
2011 -
2012 -
2013 - Progress
2014 -
201401 - Sent letter to Doctor Alba saying...
201402 -
201403 - 1. Subject: Progress Notes
201404 - Date: 2014-05-29 10:15
201411 - ..
201412 - 2. Stopped at the Medical Center on the way back from Santa Cruz
201413 - yesterday. Great drive on Highway 1 up the Coast. Went to
201414 - Release of Information and ordered your progress notes for
201415 - meeting on 140519, so no need for you to submit directly.
201416 -
201417 - [On 140610 0903 request again completion of Progress Notes
201418 - for meeting on 140519, to review for corrections, and guide
201419 - case management. ref SDS 64 X45G
201421 - ..
201422 - 3. Hope there is time to correct errors in patient history to
201423 - avoid propagating prior errors in the current notes. It's a 2
201424 - minute read. [...following up review on 140213 0830.
201425 - ref SDS 53 WF5J and ref SDS 53 E66J and ref SDS 53 NM6M and
201426 - ref SDS 53 5I7H...]
201428 - ..
201429 - 4. Additionally, hoping you can mention in the current notes that
201430 - lab results reflect in part patient support listed in the
201431 - record on 140514 (see line 760562. ref SDS 59 I17G
201433 - ..
201434 - 5. No rush on completing notes, but please send me notice when
201435 - they are posted, so I can follow up with ROI.
201436 -
201437 - [On 140610 0903 request again completion of Progress Notes
201438 - for meeting on 140519, to review for corrections, and guide
201439 - case management. ref SDS 64 X45G
201441 - ..
201442 - [On 140610 0903 VA notifies Progress Notes were published a
201443 - week earlier and without notice to the customer so that
201444 - could continue toward timely completion. ref SDS 65 W84I
201446 - ..
201447 - 6. Have not heard on EPC lab issue, so guess the team could not
201448 - get this done. Did you get any feedback on your submission?
201449 - ...[cited in correspondence on 140520 0732. 140520 0732,
201450 - ref SDS 62 4U46 and ref SDS 62 AF5L, and referencing prior
201451 - request on 140515 2043, ref SDS 60 YM61, citing research on
201452 - 131125 0005. ref SDS 42 6O9M...]
201454 - ..
201455 - 7. Having heard Doctor Feingold's explanation [...during meeting
201456 - at VA on 140519...] that coronary CT angiography is difficult
201457 - for CABG patients [...due to anatomy changes during
201458 - surgery...], would like to proceed with this to verify
201459 - regression of atherosclerosis plaque, and for reasons set out
201460 - in the letter to you on 140520, [...reported on 140520 0732.
201461 - ref SDS 62 VQ48...].
201463 - ..
201464 - 8. Will think of you when I get to the top of Half Dome.
201465 -
201468 -
201469 -
201470 -
201471 -
201472 -
201473 -
201474 -
201475 -
201476 -
201477 -
201478 -
2015 -