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: April 19, 2016 08:00 AM Tuesday;
Rod Welch
Dental examination and cleaning Graham Dental Offices.
1...Summary/Objective
2...Dental Care Leverages Patient History
3...Findings No Remedial Work Performed Nor Recommended
4...Graham Dental Letter Reports Summary Dental Examination
..............
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CONTACTS
SUBJECTS
Dental Examination Cleaning No New Cavities Decay Found 2 Fillings #
4703 -
4703 - ..
4704 - Summary/Objective
4705 -
470501 - Follow up ref SDS 57 0000. ref SDS 53 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 27 HG6P, and following up prior cleaning
470903 - on 100325 0800. ref SDS 23 TL9F
470905 - ..
470906 - Background on prior work is listed on 100514 0730. ref SDS 25 VH5N
470908 - ..
470909 - On 110928 0800 dental examination, cleaning, ref SDS 33 8659, and
470910 - periodontal chart shows good oral hygeine has restored gum health.
470911 - ref SDS 33 6Z3V
470913 - ..
470914 - On 110929 2028 letter from Graham Dental received medical chart
470915 - progress notes, ref SDS 34 VT5I, for work on 110928. ref SDS 33 534L
470917 - ..
470918 - On 110930 2246 letter to Graham Dental submits questions on issues in
470919 - progress notes for work on 110928. ref SDS 35 VT5I
470921 - ..
470922 - On 111022 1923 received and paid invoice for dental services performed
470923 - today on 110928. ref SDS 36 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 37 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 38 VT5I
470935 - ..
470936 - On 120404 0800 dental examination, cleaning. ref SDS 39 004T
470938 - ..
470939 - On 120507 1015 paid invoice for dental services on 120404.
470940 - ref SDS 40 004T
470942 - ..
470943 - On 121010 0800 dental examination, cleaning and xrays showing no
470944 - evident progression of decay. ref SDS 41 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 42 DQ90
470951 - ..
470952 - On 131016 Doctor David Graham performed teeth cleaning and
470953 - examination; no new cavity issues presented. ref SDS 44 OT6G Xrays
470954 - scheduled in 6 months, along with repair slight cavity on #9 for
470955 - approximate cost $40, absent complications. ref SDS 44 ES7M
470956 - Periodontal examination found improvement with reduced pockets,
470957 - attributed to using electric toothbrush, recommended previously by
470958 - Graham Dental. ref SDS 44 MY4I Rising pockets in back teeth,
470959 - ref SDS 44 RV5N, requires resuming use of dental pick to clean gums on
470960 - back teeth. ref SDS 44 P36J Scheduled next meeting on 140416 0800.
470961 - ref SDS 44 ES7G Received Progress Notes that support doctor/patient
470962 - partnership for following up critical issues. ref SDS 44 LB6N
470964 - ..
470965 - On 140410 0910 received letter from Graham Dental requesting feedback
470966 - to confirm meeting on 140416 0800. ref SDS 47 004T Sent letter
470967 - confirming next meeting, and agenda. ref SDS 47 FX5L
470969 - ..
470970 - On 140416 0800 Doctor David Graham did examination and cleaning.
470971 - ref SDS 48 O75H David mentioned several times today, that teeth/mouth
470972 - seem very clean. ref SDS 48 LC5F Reviewed history of tooth #9 appears
470973 - "dead" from injury many years ago. ref SDS 48 1R6O Check for dental
470974 - "pockets" in the gums showed improvement. ref SDS 48 MY4I Minor
470975 - filling on #9 and an adjacent tooth (not identified in the record).
470976 - ref SDS 48 PR7K David still plans to retire at the end of the year.
470977 - ref SDS 48 HS5G
470979 - ..
470980 - On 141021 0800 Doctor David Graham did examination and cleaning.
470981 - ref SDS 50 O75H David mentioned several times today, that teeth/mouth
470982 - seem very clean. ref SDS 50 LC5F Bleeding gum issue shows improvement
470983 - compared to prior examinations. ref SDS 50 8659 Letter from David
470984 - recommends special attention upper right side between last 2 teeth
470985 - (#3 and #4) to continue improve gum bleeding problem. ref SDS 50 H271
470987 - ..
470988 - On 150422 0900 Doctor Mark Graham did examination and cleaning.
470989 - ref SDS 53 O75H Mark reported finding continuing moderate
470990 - gum bleeding.
470991 -
470992 -
470993 -
470994 -
470995 -
470996 -
470997 -
470998 -
471000 - ..
4711 -
4712 -
4713 - Progress
4714 -
471401 - Dental Care Leverages Patient History
471402 -
471403 - Follow up ref SDS 57 004T, ref SDS 53 004T.
471404 -
471405 - Meeting was scheduled on 160418 0800, during the prior meeting on
471406 - 151104 0800. ref SDS 57 ES7G
471408 - ..
471409 - On 160204 1014, called Graham Dental and talked to June. She said
471410 - that Lynn has retired. Explained a few weeks ago there was a call
471411 - saying Mark would not be in the office on 160418, so need to change
471412 - the date of the work.
471414 - ..
471415 - Today, met June. She scheduled next meeting on 1610__
471417 - ..
471418 - Scheduled next meeting in October 2015.
471420 - ..
471421 - Sonja did the cleaning today. Excellent work.
471422 -
471423 -
471425 - ..
471426 - Findings No Remedial Work Performed Nor Recommended
471427 -
471428 - Follow up ref SDS 57 8659, ref SDS 53 8659.
471429 -
471430 - Sonja reported finding...
471431 -
471432 - 1. Major improvement today using ultra sonic dental pic used for
471433 - 1st time in patient history, demonstrates continuing
471434 - improvement of gums.
471436 - ..
471437 - 2. Moderate gum bleeding still occuring when cleaning teeth with
471438 - dental pick. Sonja did not show evidence of bleeding using
471439 - gauze blotted with blood, and could not taste blood from the
471440 - cleaning process, as occurred during prior meeting on 140416
471441 - 0800. ref SDS 48 8659 This shows continuing improvement from
471442 - prior dental examinations on 110202 0800. ref SDS 29 8659
471444 - ..
471445 - Previously, on 141021 0800 at 1657 letter from David identified
471446 - teeth #3 and #4 require extra care to resolve moderate gum
471447 - bleeding. ref SDS 50 H271
471449 - ..
471450 - Explained finding moderate bleeding gums today during cleaning
471451 - with sharp metal dental pick aligns with patient history the
471452 - past 25 years, showing no evidence of bleeding gums (by taste
471453 - nor observation) from routine daily activity, including eating
471454 - and brushing, previously reported on 110202 0800. ref SDS 29
471455 - UD5J
471457 - ..
471458 - On 150519 1621 2nd opinion Doctor Grosso reports finding no bleeding
471459 - on probing, which indicates very little inflammation of the tissue (a
471460 - very good finding). ref SDS 56 8G92
471462 - ..
471463 - Dental cleaning continues...
471464 -
471465 - 3. No remedial care was performed.
471467 - ..
471468 - Sonja will submit medical chart to cross check understandings from
471469 - work today.
471470 -
471471 -
471472 -
471473 -
471475 - ..
4715 -
4716 -
4717 - 1657
4718 -
471801 - Graham Dental Letter Reports Summary Dental Examination
471802 -
471803 - Follow up ref SDS 57 TN5F, ref SDS 53 TN5F.
471804 -
471805 - Several days later letter from Mark saying...
471806 -
471807 - 1. Subject: [Secure Message] Progress Notes
471808 - Date: 2016-04-21 12:11
471812 - ..
471813 - 2. Pact-One Solutions
471814 - [Secure Message] Progress Notes
471816 - ..
471817 - 3. View Secure Message
471818 -
471819 - https://connectconfidential.com/r2/ac89e10479d293810369d9b6c8c4a0bf7fd69586473fe6bd7388626c35eadca8/7872a733d75dde1e48648e25c14a30aa13c8cf7e7b20b948480744c11c5bc144/9f723fb957c63145ccf3afb2223aee7ed5a9f4fd9ea518824b181392755d3703/d94846bab9a9290dd384d06a3550d3e942561ab29836a062d6ba6e33dc96563c/3d6603ce812fcb1e55c8ce692ba485099a3da50bc19f341f0311760a3c49fe03
471821 - ..
471822 - 4. Note: If you have any concerns about the authenticity of this
471823 - message please contact the original sender directly.
471825 - ..
471826 - 5. Powered by Pact-One
471828 - ..
471829 - 6. Copyright © 2016 Pact-One. All rights reserved.
471830 -
471832 - ..
471833 - The link in this letter shows content...
471834 -
471835 - Progress Notes
471836 - From: grahamdds@att.net
471837 - To: rod@welchco.com
471838 - Expires: Never
471839 - Created: Apr 21st 2016
471840 -
471841 - https://connectconfidential.com/r2/ac89e10479d293810369d9b6c8c4a0bf7fd69586473fe6bd7388626c35eadca8/7872a733d75dde1e48648e25c14a30aa13c8cf7e7b20b948480744c11c5bc144/9f723fb957c63145ccf3afb2223aee7ed5a9f4fd9ea518824b181392755d3703/d94846bab9a9290dd384d06a3550d3e942561ab29836a062d6ba6e33dc96563c/3d6603ce812fcb1e55c8ce692ba485099a3da50bc19f341f0311760a3c49fe03
471843 - ..
471844 - Dear Mr. Welch,
471846 - ..
471847 - Here is the summary of your appointment on Tuesday, April 19,
471848 - 2016 as documented:
471850 - ..
471851 - Start of Dental chart note (Sonya):
471853 - ..
471854 - Prophy (cleaning), no exam (DR. Graham out of the office
471855 - today), 4 Vertical BWX, 6 month recall.
471857 - ..
471858 - Ultrasonic used lightly. Hand scaled and polished full mouth.
471860 - ..
471861 - This was significant change, demonstrating continuing improvement gum
471862 - health.
471864 - ..
471865 - Sonja's Progress Notes continue...
471866 -
471867 - Oral Cancer exam is regular. No sensitivity today. Light to
471868 - moderate bleeding with scaling.
471870 - ..
471871 - Light to moderate calculus. Calculus is down on the anterior?s
471872 - facial and lingual.
471874 - ..
471875 - Revisited brushing; patient using electric toothbrush in the
471876 - shower.
471878 - ..
471879 - Bleeding on the upper left #12-14 more on the lingual.
471881 - ..
471882 - Scattered open contacts and food traps especially on #30-31,
471883 - #31 lingual has more plaque and bleeding lingual
471885 - ..
471886 - End of Dental chart note (Sonya)
471888 - ..
471889 - Start of Dental chart note (Dr. Graham):
471891 - ..
471892 - Reviewed vertical BWX?s; no obvious pathology observed
471894 - ..
471895 - End of Dental chart note (Dr. Graham).
471896 -
471897 -
471898 -
471899 -
471900 -
471901 -
471902 -
471903 -
4720 -