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 13, 2015 04:03 PM Wednesday;
Rod Welch
Dental periodontal 2nd opinion called Doctor Jack Taggart Offices.
1...Summary/Objective
2...Case Study Periodontal History
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CONTACTS
SUBJECTS
Dental Periodontal Examination Back Teeth Reduced Pockets #3 6 #4 6
3503 -
3503 - ..
3504 - Summary/Objective
3505 -
350501 - Follow up ref SDS 21 0000, ref SDS 20 0000.
350502 -
350503 - Inquired with Doctor Taggart's office for review of conflicting
350504 - peridontal charting. ref SDS 0 IW5I Marsha suggested submitting a
350505 - letter with request and background to Doctor Taggart. ref SDS 0 YF6M
350506 - Developed case study on periodontal history. ref SDS 0 HG7I
350507 -
350508 -
350509 -
350511 - ..
3506 -
3507 -
3508 - Progress
3509 -
350901 - Called Doctor Jack Taggart's office in San Francisco...
350902 -
350903 - Dr Edward J Taggart Jr, DDS
350904 - 450 Sutter St Rm 2329
350905 - San Francisco, CA 94108
350906 - (415) 397-4095 (Office)
350907 - periodds2005@comcast.net
350908 -
350909 - http://www.healthgrades.com/dentist/dr-edward-taggart-y5wc2/appointment#AppointmentsContactInformation_anchor
350911 - ..
350912 - Website says the doctor is now 73. Great to see him still on the job
350913 - providing excellent periodontal services.
350915 - ..
350916 - Talked to Marsha.
350918 - ..
350919 - Would like Doctor Taggart's opinion on conflicting periodontal
350920 - charting, shown in the record on 150505 1600. ref SDS 21 5T7G
350921 -
350922 - [On 150517 1431 submitted letter requesting consultation on
350923 - variance in periodontal charting. ref SDS 23 7R61
350925 - ..
350926 - Currently working with Doctor David Graham, beginning in March 2009,
350927 - recommended by Doctor Richard Popejoy, a friend from high school, who
350928 - attended UCSF Dental College with David in the late 1960s. In 1986,
350929 - Richard recommended Doctor Taggart for deep cleaning of severe gum
350930 - pockets > 8. Doctor Taggart did excellent work that yielded improved
350931 - periodontal health with maximum pockets 6 mm, reported 2 years later
350932 - on 880419 0930. ref SDS 1 0001 Decades later in 2009, Richard
350933 - recommended Doctor David Graham located in San Ramone, for 2nd opinion
350934 - for an implant on #2, reported on 090302 0815. ref SDS 10 0001 This
350935 - work was done by Steve Olsen's office in the Embarcaderro Center, San
350936 - Francisco. After moving from San Francisco to Concord, switched
350937 - dentists to Graham in 2010.
350939 - ..
350940 - Doctor David Graham retired at the end of last year. On 150422,
350941 - dental examination including periodontal charting performed by Graham
350942 - Dental offices raised questions.
350944 - ..
350945 - Last week on 150505, periodontal 2nd opinion needs reconciliation of
350946 - significant variance from charting 10 days earlier by Graham Dental
350947 - Offices. ref SDS 21 OV87 and ref SDS 21 VI6K
350949 - ..
350950 - Marsha said to send a letter to Doctor Taggart explaining objectives
350951 - and background.
350952 -
350953 - [On 150517 1431 submitted letter requesting consultation on
350954 - variance in periodontal charting. ref SDS 23 7R61
350955 -
350956 -
350958 - ..
350959 - Case Study Periodontal History
350960 -
350961 -
350962 - 1. Doctor Taggart completes 2 year periodontal deep
350963 - cleaning, reports former pockets near 9 improved
350964 - to few 6s; most readings now
350965 - below 4....................................... 880419 0930, ref SDS 1 0001
350967 - ..
350968 - 2. Periodontal exam at Doctor Steve Olsen's office
350969 - found 2 5's, 4 or 5 4's and all the rest 2's
350970 - and 3's shows continuing improvement from
350971 - prior deep cleaning by Doctor Taggart......... 910218 1130, ref SDS 2 0001
350973 - ..
350974 - 3. Periodontal exam Doctor Kashani at Olsen's office
350975 - gums are in good shape found 2 - 4 5s, 20% - 30%
350976 - were 4s, and the rest were 2s and 3s; one
350977 - tooth mild bleeding........................... 950605 0915, ref SDS 3 007U
350979 - ..
350980 - 4. Follow up exam found tooth that appeared
350981 - problematic on 950605, shows improvement;
350982 - plan another review in a year................. 950710 1015, ref SDS 4 0001
350984 - ..
350985 - 5. Periodontal exam tooth problematic on 950710,
350986 - now seems okay; overall slight increase in gum
350987 - wear, but not enough to warrant corrective
350988 - action........................................ 970324 1430, ref SDS 5 0001
350990 - ..
350991 - 6. Doctor Kashani found #3 shows bone recession;
350992 - no change from year ago based on xrays; same
350993 - pocket depth 5; pocket depth of other teeth
350994 - also unchanged from last year; #24 shows
350995 - gum loss; #11 may need repair................. 980330 1400, ref SDS 7 0001
350997 - ..
350998 - 7. Doctor Kashani found #3 measures 3 3 4,
350999 - improved from 5 last year; #11 and #14
351000 - show recommended care was
351001 - performed..................................... 990503 1530, ref SDS 8 OM7S
351003 - ..
351004 - 8. Doctor Steve Olsen suggested in 18 months need
351005 - periodontal examination; did not find evident
351006 - gum problems; no bleeding gums or other
351007 - discomfort.................................... 001212 1500, ref SDS 9 E49K
351009 - ..
351010 - 9. Doctor David Graham's office - Doctor Mark
351011 - Graham performed periodontal gum pocket
351012 - examination - showed 2 - 4 teeth measured 4,
351013 - and all the rest measured
351014 - below 4....................................... 100325 0800, ref SDS 11 SW66
351016 - ..
351017 - 10. Dental hygenist reports during routine teeth
351018 - cleaning new finding of moderate to severe
351019 - gum bleeding in back teeth.................... 110202 0800, ref SDS 12 8659
351020 - conflicts patient history no signs bleeding
351021 - gums brushing teeth since periodontal care
351022 - by Doctor Taggart completed on
351023 - 880419........................................ 110202 0800, ref SDS 12 UD5J
351024 - Doctor David Graham advised that patient's
351025 - teeth look very good.......................... 110202 0800, ref SDS 12 O764
351026 - Doctor Graham reported having a tooth with
351027 - pocket of 6 for several years and has
351028 - had no problems............................... 110202 0800, ref SDS 12 YC5N
351030 - ..
351031 - 11. Periodontal chart Doctor Graham's office upper
351032 - teeth #3 and #15 show 5s on inside (Ling); all
351033 - other teeth less than 5; seems like good
351034 - periodontal health............................ 110928 0800, ref SDS 13 6Z3V
351035 - Lower teeth show all gum pockets measure
351036 - less than 5................................... 110928 0800, ref SDS 13 IO9G
351038 - ..
351039 - 12. Periodontal chart Doctor Graham's office report
351040 - patient switched to electric toothbrush; periodontal
351041 - health seemingly declined; upper teeth outside #13 5
351042 - all others less than 5; upper teeth inside
351043 - (Ling) inside #3 5, #4 6, all other
351044 - teeth less than 5............................. 131016 0800, ref SDS 17 MY4I
351045 - lower teeth outside #31 6, #30 6, #19 6,
351046 - #18 6, all others less than 5................. 131016 0800, ref SDS 17 IO9G
351048 - ..
351049 - 13. Periodontal chart Doctor Graham's office
351050 - partial re-check specific teeth and reported
351051 - some improvement - upper teeth outside #13 4;
351052 - inside #3 6 and #4 6 - no other
351053 - teeth reported................................ 140416 0800, ref SDS 18 6Z3V
351054 - lower teeth outside #31 4, #30 5, #19 5,
351055 - #18 5; inside #31 4, #30 6,
351056 - #19 6, #18 4.................................. 140416 0800, ref SDS 18 IO9G
351058 - ..
351059 - 14. Periodontal examination Doctor Graham's office
351060 - upper teeth outside #13 6 #14 5 #15 5 all
351061 - other teeth below 5; upper teeth inside #14 5
351062 - all other teeth below 5....................... 150422 0800, ref SDS 19 5B9O
351063 - lower teeth outside #18 6 #19 6 all other
351064 - teeth below 5; inside (ling) all
351065 - below 5....................................... 150422 0800, ref SDS 19 IO9G
351066 -
351067 - 15. 2nd opinion periodontal examination Doctor
351068 - Grosso's office upper teeth outside #3 5 #4 5
351069 - #13 6 all other teeth below 5; inside #3 6 #4 6
351070 - #5 5 #13 6 #15 5 all others
351071 - below 5....................................... 150505 1600, ref SDS 21 3U8H
351072 - lower teeth outside #18 5 #19 5 #30 5 all
351073 - others below 5; inside (ling) #18 5 #19 5
351074 - #26 5 #29 5 #30 5............................. 150505 1600, ref SDS 21 IO9G
351076 - ..
351077 - 16. Submitted this case study to Doctor Taggart
351078 - in a letter for comment on charting
351079 - variances..................................... 150517 1431, ref SDS 22 7S5X
351080 -
351081 -
351082 -
351083 -
351084 -
351085 -
351086 -
351087 -
351088 -
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351090 -
351091 -
3511 -