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: September 12, 2017 01:30 PM Tuesday;
Rod Welch
VA Doctor Stewart meeting automobile accident reports 3 ribs fractured ordered MRI for fractured neck.
1...Summary/Objective
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CONTACTS
SUBJECTS
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0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 13 0000. ref SDS 11 0000.
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0408 - Progress
0409 -
040901 - Met with Doctor Victoria Lyo, Chief Resident. She is in her 7th year
040902 - of residency. Next year she will get fellowship. Plans to work in
040903 - Oregon in GI Department.
040908 - ..
040909 - She will continue with Doctor Stewart for 2 more months.
040911 - ..
040912 - She cycled through Trauma Departement, so appreciates objectives of
040913 - meeting today, for comprehrensive review of automobile accident on
040914 - 170905. ref SDS 7 J69I
040916 - ..
040917 - Victoria suffered injuries from an autombile accident last February,
040918 - so she has personal experience with this line of care.
040920 - ..
040921 - She had same experience of sneezing, coughing, and laughing causing
040922 - severe pain in chest.
040924 - ..
040925 - Victoria advised that radiology study actually reported 3 fractured
040926 - ribs. Two are in the left side chest, and the 3rd is in the back.
040928 - ..
040929 - Meeting with Doctor Stewart explained pain turning head side to side.
040931 - ..
040932 - Discussed concussion and loss of memory, reviewed in ER on 170906
040933 - 1948. ref SDS 9 1X5I
040935 - ..
040936 - Doctor Stewart ordered MRI of neck to check for fractures from severe
040937 - whiplash. She feels further inquiry is prudent for collision at 65
040938 - MPH striking the ground and tumbling several times, and based on pain
040939 - turning head side-to-side now 2 weeks after the injury on 170905 2230,
040940 - ref SDS 7 J69I, further inquiry is prudent.
040942 - ..
040943 - The doctor asked about injuries to the left leg and left arm.
040945 - ..
040946 - Explained that yesterday, Lana in Wound Care changed the dressing and
040947 - inspected the big hematoma wound on the lower left leg. At that time,
040948 - Lana indicated the wound is healing normally.
040950 - ..
040951 - Doctor Stewart asked Doctor Lyo to cut the dressing off, so they can
040952 - make another examination.
040954 - ..
040955 - Showed both doctor's pictures taken during treatment in Wound Care
040956 - yesterday.
040958 - ..
040959 - Doctor Stewart then said it is not necessary to remove and replace the
040960 - dressing again today, since the pictures show clearly the scope of
040961 - injury.
040963 - ..
040964 - The doctor noted that the large hematoma wound on the lower left leg
040965 - may require reconstructive surgery, similar to initial planning on
040966 - 151006 1315, ref SDS 3 LJ8N, for prior hematoma wound on lower left
040967 - leg that occurred from falling during hike to Half Dome on 150916
040968 - 0535. ref SDS 1 O87H
040970 - ..
040971 - As previously, Doctor Stewart wants another meeting in 2 weeks to
040972 - assess progress recovering from this wound, toward considering
040973 - reconstructive surgery solution.
040975 - ..
040976 - We discussed current schedule meeting Lana on Monday and Thursday to
040977 - change dressing. We can change the meeting with Lana from Monday, to
040978 - Tuesday to fit Doctor Stewart's Clinic schedule, so Lana can remove
040979 - the dressing. They can make joint inspection, and then Lana can
040980 - replace the dressing.
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