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 26, 2015 02:32 PM Tuesday; Rod Welch

VA MCSF meeting Irene in Radiology to commend her work during CABG surgery in 2009.

1...Summary/Objective


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CONTACTS 

SUBJECTS
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0404 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
0405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040501 - Follow up ref SDS 3 D26K, ref SDS 2 QP8L.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
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0408 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040901 - While in radiology department to schedule CT barrium swallow test for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040902 - tomorrow, asked the attendant if he knows Irene in the Ultrasound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040903 - unit? ref SDS 4 248L  He took me down the hall and around the corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
040904 - to an office of the Lead Medical Clerk.  Her name is Caroline Putnam.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040906 -  ..
040907 - Asked Caroline if Irene still works here, who did sonogram testing in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040908 - ICU on 091021, and to prepare for CABG +4 surgery the next day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040909 - ref SDS 1 04CH  Explained she provided care several more times, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
040910 - 091030, to verify deep vein thrombosis (DVT - blood clot caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040911 - cordis catheter). ref SDS 2 1N6L  Irene arranged for the patient to be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
040912 - returned to the recovery room in Telemetry, rather than sit for an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040913 - hour or so in an overcrowded waiting room due to a surge in radiology                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040914 - test cases pending at the time. ref SDS 2 1N8W  When the backlog was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
040915 - reduced, she sent someone to bring the patient back to Radiology for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040916 - the sonogram test which took about 10 minutes. ref SDS 2 1N5P  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
040917 - enabled the patient to work concurrent with Irene performing sonogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040918 - services for other patients.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
040920 -  ..
040921 - On 091208 1300 after a month of treatment with coumadin, Irene did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040922 - follow up sonogram finding no evidence of DVT nor blood clotting of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040923 - any kind in location discovered today; Doctor Stewart ordered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040924 - treatments with Coumadin to end, necessary for surgery on 091216, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040925 - with findings today, Coumadin need not be resumed after surgery.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040926 - ref SDS 3 D26K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040928 -  ..
040929 - Caroline said Irene Turman still works in the Ultrasound Department as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040930 - a sonographer.  She said to wait, while she asks Irene to come out to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040931 - the hallway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
040933 -  ..
040934 - After about 2 minutes, Caroline returned with Irene.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040936 -  ..
040937 - Told Irene have been waiting 6 years to tell her personally what a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040938 - terrific job she did providing care in my case.  Explained experience                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040939 - getting care and helping patients at Kaiser and other medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040940 - facilities.  The VA is noticably superior respecting patient's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040941 - dignity, time, and concerns; provides better care top to bottom by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040942 - doctors, nurses, technical support - even the janitor knew my name and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040943 - had a cheerful word everyday when I went through the heart surgery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040944 - program in 2009.  Everyone I've encountered over the past 10 years at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040945 - the VA seems skilled, and determined to provide good care with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040946 - emotional support that sustains patients through difficlt times.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040948 -  ..
040949 - Irene stands out delivering excellent care through patient                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
040950 - collaboration that optimizes outcomes.  She brings energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040951 - cheerfulness to her work that conveys confidence, optimism, and joy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040952 - her patients.  Today, while in Radiology just wanted to take a moment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040953 - saying thanks for doing more, indeed a lot more, than the job                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040954 - description calls out.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040956 -  ..
040957 - Extended my hand to shake hands.  Irene smiled and gave me a hug, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040958 - wishpered she is pleased I noticed her work, and took time to say so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
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0410 -