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: July 22, 2016 05:10 PM Friday; Rod Welch

VA call Doctor Simpson recommending another 2-week Zio XT heart monitoring test.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
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0403 -    ..
0404 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
0405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040501 - Follow up ref SDS 30 0000. ref SDS 29 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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040508 -  ..
0406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0408 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040901 - After returning home from meeting Doctor Massa in Neurology, and then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040902 - Debbie in GI, checked for voice messages.  There was a telephone voice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040903 - message on the cellphone from Doctor Simpson.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040905 -  ..
040906 - Doctor Simpson said he talked to a doctor in the GI clinic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040908 -  ..
040909 - He also reviewed findings from the MRI on 160618 1348. ref SDS 20 WK7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
040911 -  ..
040912 - The doctor's message said he supports doing another Zio XT heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040913 - monitoring test, and so has placed an order, because he examined the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040914 - MRI scan performed on 160618, and found a location that might indicate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040915 - stroke.  This may support Doctor Yoo's Progress Note reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040916 - 160715 1630. ref SDS 25 TV4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040918 -            [On 160727 0004 letter to medical team confirms Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040919 -            Simpson supports Neurology opinion that MRA on 160618, can                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040920 -            be interpreted as showing a stroke occurred the day before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040921 -            on 160617, and therefore he supports doing another Zio XT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040922 -            heart monitoring test looking for an afib event that might                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040923 -            explain the cause of the stroke indications in the MRI.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040924 -            ref SDS 31 S175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040926 -  ..
040927 - Ordering another 2-week Zio XT heart test supports Neurology planning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040928 - discussed with Doctor Massa in the Neurology Clinic earlier this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040929 - morning, reported on 160722 1304. ref SDS 30 TA8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040931 -  ..
040932 - Doctor Simpson's message also said something about ordering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040933 - Atorvastatin 80 mg per day, increasing 800% the prescription that has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040934 - worked well the past 2 years to regress atherosclerosis to 0, shown by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040935 - CCTA on 151019 0930, ref SDS 18 SU62, and confirmed in recent MRI on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
040936 - 160618. ref SDS 20 J738                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040938 -  ..
040939 - This issue about increasing Atorvastatin 800% reflects Doctor Yoo's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040940 - Progress Notes on 160715 1630. ref SDS 25 TB5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
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