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: December 1, 2015 08:48 AM Tuesday;
Rod Welch
VA letter to Lana in Wound Clinic on changing dressing recover hematoma left leg.
1...Summary/Objective
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CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 21 0000. ref SDS 20 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040507 -
040508 -
040510 - ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Yesterday, changed wound dressing by switching from Enluxtra to
040902 - Hydrofera Blue dressing covered by foam pad. reported on 151130 0800.
040903 - ref SDS 21 3Q8M At that time, scheduled next meeting to change
040904 - dressing in 7 days on Monday, 151207 0800. 151130 0800, ref SDS 21
040905 - U49O
040907 - ..
040908 - While writing up the record and connecting the work yesterday, to the
040909 - original record when Hydrofera Blue Tunnel dressing was first applied,
040910 - discovered authorities recommending changing Hydrofera Flue dressing
040911 - in 3 days, shown on 150925 0336, ref SDS 4 HM5I, rather than 7
040912 - currently planned.
040914 - ..
040915 - Submitted letter to Lana saying...
040916 -
040917 - 1. Subject: Work Plan Change Hydrofera Blue in 3 days
040918 - Date: 2015-12-01 09:43
040926 - ..
040927 - 3. Yesterday, we initially planned to change Hydrofera Blue
040928 - dressing on Friday, 151204; however, since EGD dilation
040929 - procedure is scheduled on 151204 at 0800 with VA Medical Center
040930 - in Sacramento, we changed the schedule to change wound dressing
040931 - to next Monday, on 151207 0800. [...reported on 151130 0800.
040932 - ref SDS 21 U49O...].
040934 - ..
040935 - 4. Research indicates some authorities recommend changing
040936 - Hydrofera Blue dressing within 72 hours (3 days). If time
040937 - permits please check [...the record on 150925 0336. ref SDS 4
040938 - HL6O...].
040939 -
040940 - [On 151203 0900 Lana related experience in Wound Care
040941 - Clinic at the VA Medical Center in San Francisco finding
040942 - that, despite product specifications calling for 3 day
040943 - dressing changes, presented in research on 150925 0336,
040944 - ref SDS 4 HL6O, favorable results extending changes for 7
040945 - days, ref SDS 22 L43F, using Hydrofera Blue Bacterostatic
040946 - wound dressing, as prescribed during the meeting on 151130
040947 - 0800. ref SDS 21 Lana further changed the protocol in this
040948 - case back to changing wound dressing in 3 days to implement
040949 - product specifications on preventing dressing from drying
040950 - out with rehydration, also reported on 150925 0336.
040951 - ref SDS 4 SQ76, she decided to check the dressing
040952 - personally on 3-4 day intervals to ensure appropriate
040953 - action is taken for timely recovery. ref SDS 22 NS4F
040955 - ..
040956 - 5. It's possible these are outdated sources referring to earlier
040957 - Hydrofera Blue products, such that the dressing applied
040958 - yesterday works well for 7 days instead of only 3. If you
040959 - decide to change the dressing earlier, I can come in on
040960 - Thursday, 151203 0800 and simply pickup the supplies to change
040961 - the dressing at home, so that your schedule is not disrupted;
040962 - or, if you can squeeze in a few minutes, it can be done in the
040963 - Wound Clinic.
040964 -
040965 - [...below on 151201 0848 at 1027 letter from Lana proposing
040966 - visit to VA Medical Center in San Francisco to change wound
040967 - dressing on Thursday 151203 0900. ref SDS 0 RS5K
040969 - ..
040970 - [...below on 151201 0848 at 1033 letter to Lana at VA
040971 - Medical Center in San Francisco, notifies will visit the
040972 - hospital Wound Clinic on Thursday, 151203 0900, to change
040973 - wound dressing. ref SDS 0 5T7A
040975 - ..
040976 - 6. Of course if there is authority for 7 day interval to change
040977 - hydrofera blue dressing, I apologize for for this inquiry.
040979 - ..
040980 - 7. Please call to coordinate if needed.
040982 - ..
040983 - 8. Your support is appreciated.
040984 -
040993 -
040994 -
040996 - ..
0410 -
0411 -
0412 - 1027
0413 -
041301 - Received letter from Lana at VA Medical Center in San Francisco, and
041302 - saying...
041303 -
041304 - 1. Subject: RE: [EXTERNAL] Work Plan Change Hydrofera Blue in 3 days
041305 - Date: 2015-12-01 09:51
041309 - ..
041310 - 2. If you are concerned, I can change it on Thursday. I have 2
041311 - patients: at 8am and 8:30am. 9:00 am is available.
041313 - ..
041314 - Lana responds to the letter submitted earlier today, shown above.
041315 - ref SDS 0 UT5O
041316 -
041317 - [...below on 151201 0848 at 1033 letter to Lana at VA
041318 - Medical Center in San Francisco, notifies will visit the
041319 - hospital Wound Clinic on Thursday, 151203 0900, to change
041320 - wound dressing. ref SDS 0 5T7A
041322 - ..
041323 - Svetlana
041324 -
041325 -
041327 - ..
0414 -
0415 -
0416 - 1033
0417 -
041701 - Sent letter to Lana saying...
041702 -
041703 - 1. Subject: Re: [EXTERNAL] Work Plan Change Hydrofera Blue in 3 days
041704 - Date: 2015-12-01 10:34
041709 - ..
041710 - 2. Lana,
041712 - ..
041713 - 3. Responding to your letter, received earlier today, on 151201 at
041714 - 0951, ref SDS 0 RS5K, will come in on Thursday, 151203 0900.
041716 - ..
041717 - This changes the work plan on 151130 0800. ref SDS 21 U49O
041719 - ..
041720 - Letter to Lana continues...
041721 -
041722 - 4. Thanks - very grateful for your timely support.
041724 - ..
041725 - 5. Rod
041726 -
041728 - ..
0418 -
0419 -
0420 - 1043
0421 -
042101 - Called Svetlana and left message to remind her to notify Module 2
042102 - clerks (Megan, Kim, Christina) to schedule meeting with Lana in Wound
042103 - Care for 151203 0900.
042104 -
042105 - 415 221 4810 ext 25958 cell 415 725 4721
042106 -
042107 -
042108 -
042109 -
042110 -
042111 -
042112 -
042113 -
042114 -
042115 -
042116 -
042117 -
0422 -