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 21, 2014 08:00 AM Tuesday;
Rod Welch
Dental examination and cleaning Graham Dental Offices.
1...Summary/Objective
2...Dental Care Leverages Patient History
3...Retire End of Year HDL 30 Niacin Poor Response Difficult Side Effects
4...Findings No Remedial Work Performed Nor Recommended
5...Graham Dental Letter Reports Summary Dental Examination
6...Quality Care Survey Applies Efficiencies Electronic Communications
..............
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CONTACTS
SUBJECTS
Dental Examination Cleaning Findings No New Cavities Decay Teeth Mou
4703 -
4703 - ..
4704 - Summary/Objective
4705 -
470501 - Follow up ref SDS 41 0000. ref SDS 38 0000.
470502 -
470503 -
470504 -
470505 -
470506 -
470507 -
470509 - ..
4706 -
4707 -
4708 - Background
4709 -
470901 - On 101108, Lynn scheduled examination and cleaning for today, 110202,
470902 - confirmed in letter. ref SDS 22 HG6P, and following up prior cleaning
470903 - on 100325 0800. ref SDS 18 TL9F
470905 - ..
470906 - Background on prior work is listed on 100514 0730. ref SDS 20 VH5N
470908 - ..
470909 - On 110928 0800 dental examination, cleaning, ref SDS 28 8659, and
470910 - periodontal chart shows good oral hygeine has restored gum health.
470911 - ref SDS 28 6Z3V
470913 - ..
470914 - On 110929 2028 letter from Graham Dental received medical chart
470915 - progress notes, ref SDS 29 VT5I, for work on 110928. ref SDS 28 534L
470917 - ..
470918 - On 110930 2246 letter to Graham Dental submits questions on issues in
470919 - progress notes for work on 110928. ref SDS 30 VT5I
470921 - ..
470922 - On 111022 1923 received and paid invoice for dental services performed
470923 - today on 110928. ref SDS 31 004T
470925 - ..
470926 - On 111025 1928 letter from Lynn at Graham Dental reports medical chart
470927 - progress notes for meeting on 110928 were submitted previously on
470928 - 110929. ref SDS 32 VT5I
470930 - ..
470931 - On 111026 1022 submit letter to Lynn at Graham Dental with questions
470932 - and action items on medical chart and progress notes for meeting
470933 - performing dental examination 110928. ref SDS 33 VT5I
470935 - ..
470936 - On 120404 0800 dental examination, cleaning. ref SDS 34 004T
470938 - ..
470939 - On 120507 1015 paid invoice for dental services on 120404.
470940 - ref SDS 35 004T
470942 - ..
470943 - On 121010 0800 dental examination, cleaning and xrays showing no
470944 - evident progression of decay. ref SDS 36 O75H
470946 - ..
470947 - On 130417 0800 dental examination, cleaning, defer fillings recover
470948 - from cavity past 18 months on tooth #13, and defer treatment new
470949 - cavity reported on #9; evaluate in 6 months. ref SDS 37 DQ90
470951 - ..
470952 - On 131016 Doctor David Graham performed teeth cleaning and
470953 - examination; no new cavity issues presented. ref SDS 38 OT6G Xrays
470954 - scheduled in 6 months, along with repair slight cavity on #9 for
470955 - approximate cost $40, absent complications. ref SDS 38 ES7M
470956 - Periodontal examination found improvement with reduced pockets,
470957 - attributed to using electric toothbrush, recommended previously by
470958 - Graham Dental. ref SDS 38 MY4I Rising pockets in back teeth,
470959 - ref SDS 38 RV5N, requires resuming use of dental pick to clean gums on
470960 - back teeth. ref SDS 38 P36J Scheduled next meeting on 140416 0800.
470961 - ref SDS 38 ES7G Received Progress Notes that support doctor/patient
470962 - partnership for following up critical issues. ref SDS 38 LB6N
470964 - ..
470965 - On 140410 0910 received letter from Graham Dental requesting feedback
470966 - to confirm meeting on 140416 0800. ref SDS 40 004T Sent letter
470967 - confirming next meeting, and agenda. ref SDS 40 FX5L
470969 - ..
470970 - On 140416 0800 Doctor David Graham did examination and cleaning.
470971 - ref SDS 41 O75H David mentioned several times today, that teeth/mouth
470972 - seem very clean. ref SDS 41 LC5F Reviewed history of tooth #9 appears
470973 - "dead" from injury many years ago. ref SDS 41 1R6O Check for dental
470974 - "pockets" in the gums showed improvement. ref SDS 41 MY4I Minor
470975 - filling on #9 and an adjacent tooth (not identified in the record).
470976 - ref SDS 41 PR7K David still plans to retire at the end of the year.
470977 - ref SDS 41 HS5G
470978 -
470979 -
470980 -
470981 -
470983 - ..
4710 -
4711 -
4712 - Progress
4713 -
471301 - Dental Care Leverages Patient History
471302 -
471303 - Follow up ref SDS 41 004T, ref SDS 38 004T.
471304 -
471305 - Meeting today was scheduled by the medical chart received with Doctor
471306 - Graham's letter on 140416 0800. ref SDS 41 6Z6Q
471308 - ..
471309 - Agenda was submitted on 140410 0910. ref SDS 40 FX5L
471311 - ..
471312 - Scheduled next meeting in April 2015.
471314 - ..
471315 - Doctor David Graham did the cleaning today. Excellent work.
471316 -
471317 - [On 141122 0702 received bill in the amount of $104, and
471318 - paid the bill. ref SDS 45 XQ4F
471320 - ..
471321 - David mentioned several times again today, that teeth/mouth seem very
471322 - clean, extending favorable examination during prior meeting reported
471323 - on 140416 0800, ref SDS 41 LC5F, and further noted in Progress Notes.
471324 - ref SDS 41 Q867
471325 -
471326 - [...below on 141021 0800 at 1657 letter from David reports
471327 - he was overall happy with my findings from examination.
471328 - ref SDS 0 H26H
471329 -
471330 -
471331 -
4714 -
SUBJECTS
Default Null Subject Account for Blank Record
4803 -
480401 - ..
480402 - Retire End of Year HDL 30 Niacin Poor Response Difficult Side Effects
480403 -
480404 - Follow up ref SDS 41 HS5G, ref SDS 38 HS5G.
480405 -
480406 - David is looking forward to retirement at the end of the year. He
480407 - will continue teaching 2 days a week at UCSF. David is also building
480408 - a house with a friend, as an entertainment project.
480410 - ..
480411 - During the meeting on 131014, David reported he has been diagnosed
480412 - with 100% clogged artery that cannot be repaired with stent. At this
480413 - time, his doctor diagnoses that David does not need heart bypass
480414 - surgery (CABG), because surrounding capilaries have expanded
480415 - sufficiently to provide alternative routes to maintain sufficient
480416 - blood supply.
480418 - ..
480419 - Otherwise David seems in excellent health.
480420 -
480421 -
480422 -
480423 -
480425 - ..
480426 - Findings No Remedial Work Performed Nor Recommended
480427 -
480428 - Follow up ref SDS 41 8659, ref SDS 38 8659.
480429 -
480430 - David reported finding...
480431 -
480432 - 1. Moderate gum bleeding still occuring when cleaning teeth with
480433 - dental pick, but now only on right side of upper back teeth,
480434 - David did not show evidence of bleeding using gauze blotted
480435 - with blood, and could not taste blood from the cleaning
480436 - process, as occurred during prior meeting on 140416 0800.
480437 - ref SDS 41 8659 This aligns with David's report finding only
480438 - "moderate" bleeding. Today, David identified the exact
480439 - location of the problem between the last 2 teeth (#3 and #4) on
480440 - upper right side. This shows significant improvement from
480441 - prior dental examinations on 110202 0800. ref SDS 24 8659
480442 - David said that "bleeding gum" issue is much better than found
480443 - during prior examinations finding moderate to severe gum
480444 - bleeding in multiple locations on both sides of mouth, reported
480445 - on 140416 0800. ref SDS 41 8659
480446 -
480447 - [...below on 141021 0800 at 1657 letter from David
480448 - identifies teeth #3 and #4 require extra care to resolve
480449 - moderate gum bleeding. ref SDS 0 H271
480451 - ..
480452 - Explained finding moderate bleeding gums today during cleaning
480453 - with sharp metal dental pick aligns with patient history the
480454 - past 25 years, showing no evidence of bleeding gums (by taste
480455 - nor observation) from routine daily activity, including eating
480456 - and brushing, previously reported on 110202 0800. ref SDS 24
480457 - UD5J
480459 - ..
480460 - 2. No remedial care was performed nor recommended.
480462 - ..
480463 - David will submit medical chart to cross check understandings from
480464 - work today.
480465 -
480466 -
480467 -
480468 -
480470 - ..
4805 -
4806 -
4807 - 1657
4808 -
480801 - Graham Dental Letter Reports Summary Dental Examination
480802 -
480803 - Follow up ref SDS 41 TN5F, ref SDS 38 TN5F.
480804 -
480805 - This afternoon, received letter from David saying...
480806 -
480807 - 1. Subject: Your dental visit today
480808 - Date: 2014-10-21 14:24
480815 - ..
480816 - 2. I enjoyed meeting with you and Kathy today. I will send a
480817 - separate write up on my findings and recommendations on her.
480819 - ..
480820 - 3. I was overall happy with my findings on you. Your oral cancer
480821 - and decay exams were within normal limits and your existing
480822 - restorations looked fine.
480824 - ..
480825 - 4. Mark will take x-rays and do periodontal probing on your next 6
480826 - month recall visit.
480828 - ..
480829 - 5. Please pay special attention on your upper right side between
480830 - the last two teeth (#3 and #4) as there was moderate
480831 - inflammation & bleeding there.
480833 - ..
480834 - David's letter on findings, aligns with understandings during the
480835 - meeting reported above. ref SDS 0 8659
480836 -
480842 -
480843 -
480844 -
480845 -
480847 - ..
4809 -
4810 -
4811 - 141022 1104
4812 -
481201 - Quality Care Survey Applies Efficiencies Electronic Communications
481202 -
481203 - Follow up ref SDS 41 P55M, ref SDS 38 P55M.
481204 -
481205 - The next day received letter from Graham Dental saying...
481206 -
481207 - 1. Subject: How was your experience at David and Mark Graham, DDS?
481208 - Date: 2014-10-22 05:30
481212 - ..
481213 - 2. Dear Rod,
481215 - ..
481216 - 3. Thank you for visiting us at David and Mark Graham, DDS. We
481217 - appreciate your business and value you as a patient. To help us
481218 - continue our high quality of service, we invite you to click
481219 - here to submit a review and take a brief survey.
481220 -
481221 - https://www.demandforce.com/e/review?d3cp_key=2431246F6E64656D616E64244F4335684A637A4B36624D494E37516E397A51396931&d3cp_query=6DA0433A9D4C823E49CC802FB3BC0A0A4C3B992D3A9138049C2CAB57A5C19DEE0B64129D2ABA9D31D07FB8FD3B88A281A1782DD6822ACA04252A68FA10A5FA5630878718D0DE7EFF1C4A565FC50096E7621E8EA0363065641C1B14AE4D11DA973C40969A4B441148DF68B7A749EDA0DB6DBE3F1F05C5FC44430A4FFAD964125336979D0D1995F120894E826315FE626CD44E98E43B4F0AE47BE7558385153BA4212AE801E818E17ACEE2A07D735 5736E6B5B3976B27E1947E7938650EF4B8854E7C17F2B5D7
481222 -
481224 - ..
481225 - 4. We look forward to seeing you at your next appointment.
481227 - ..
481228 - 5. Sincerely,
481230 - ..
481231 - 6. David and Mark Graham, DDS
481232 - (925) 820-3000
481233 - grahamdds@att.net
481234 -
481235 - http://www.demandforce.com/dentist/160000773
481237 - ..
481238 - 7. Copyright 2009. Demandforce, Inc.
481239 -
481240 - http://www.demandforce.com
481242 - ..
481243 - 8. To remove yourself from future mailings, please visit this website:
481244 -
481245 - https://www.demandforce.com/b/home/unsubscribe.jsp?d3cp_key=2431246F6E64656D616E64244F4335684A637A4B36624D494E37516E397A51396931&d3cp_query=6DA0433A9D4C823E49CC802FB3BC0A0A4C3B992D3A9138049C2CAB57A5C19DEE0B64129D2ABA9D31D07FB8FD3B88A281A1782DD6822ACA04252A68FA10A5FA5630878718D0DE7EFF1C4A565FC50096E7621E8EA0363065641C1B14AE4D11DA973C40969A4B441148DF68B7A749EDA0DB6DBE3F1F05C5FC44430A4FFAD964125336979D0D1995F120894E826315FE626CD44E98E43B4F0AE47BE7558385153BA4212AE801E818E 17AC7D73557367004DE6B5B3976B27E1947E7938650EF4B8854E7C17F2B5D7
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