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 30, 2018 08:00 AM Monday; Rod Welch

Dental examination and cleaning Julia and Doctor Ham.

1...Summary/Objective
2...Dental Radiology and Cleaning
3...Progress Notes Julia and Doctor Ham


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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 68 0000. ref SDS 66 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
470502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
470503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
470505 -             ..
470506 -            [On 180522 1044 issued payment for dental services at Ham                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
470507 -            Dental on 180430. ref SDS 71 K56O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
470509 -             ..
470510 -            [On 181025 0829 received letter from Ham Dental saying next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
470511 -            dental examination is scheduled on 181107 0800. ref SDS 72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
470512 -            04F2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
470514 -             ..
470515 -            [On 181106 0806 submitted letter to Ham Dental with link to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
470516 -            this record showing history of periodontal examinations,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
470517 -            and requesting submission of periodontal examination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
470518 -            results today. ref SDS 73 04F2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
470519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
470520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
470521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
470522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
470523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
470524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
470526 -  ..
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.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
470992 -  ..
470993 - On 160419 0800 Sonja did examination and cleaning using ultrasonci                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
470994 - dental pick. ref SDS 58 8659  No remedial care was found to be needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
470995 - ref SDS 58 DY4N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
470997 -  ..
470998 - On 161106 Doctor Lisa Grosso did periodontal examination, and found                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
470999 - improvements. ref SDS 61 004T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
471001 -  ..
471002 - Doctor Grosso provided dental examination and periodontal depth                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471003 - measurements on 161116 1500. ref SDS 61 004T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
471005 -  ..
471006 - Previously, Doctor Grosso provided periodontal 2nd opinon work on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
471007 - 150505 1600. ref SDS 54 IW5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
471009 -  ..
471010 - On 170417 1000, called and talked to Deann.  Explained cannot make the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
471011 - meeting on 170418 0800.  Re- scheduled meeting for 170424 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471012 - reported on 170417 1000, ref SDS 62 004T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
471014 -  ..
471015 - On 170424 1400 Ham Dental, Julia took xrays and cleaned teeth.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
471016 - ref SDS 63 04F2  Progress Notes report she found moderate plaque and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
471017 - calculus, and lower anterior-tenacious tartar. ref SDS 63 JW3M  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
471018 - Ham compared xrays from 2014, and found xrays today show no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
471019 - progression of bone loss. ref SDS 63 MQ4H  Paid bill of $308 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
471020 - credit card. ref SDS 63 IS6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
471022 -  ..
471023 - On 170502 1010 letter to Doctor Ham at Contra Costa Densistry,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
471024 - ref SDS 64 04F2, cites favorable examinaton findings after 12 months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
471025 - since prior dental cleaning. ref SDS 64 IV37                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
471027 -  ..
471028 - On 170503 0946 called Deanne and scheduled next meeting with Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
471029 - Ham on 171115 0800. ref SDS 65 04F2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
471031 -  ..
471032 - On 171115 0800 meeting with Julia for cleaning and examination.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471033 - ref SDS 66 04F2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
471035 -  ..
471036 - On 171217 1102 received billing of $97.20, and paid same day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
471037 - ref SDS 67 1Q6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
471039 -  ..
471040 - On 180423 0809 called Deanne and scheduled next meeting with Julia and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
471041 - Doctor Ham on 180430 0800. ref SDS 69 6F3F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
471042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471048 -  ..
4711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
4712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
4713 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
4714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
471401 - Dental Radiology and Cleaning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
471402 - 
471403 - Follow up ref SDS 68 04F2, ref SDS 66 04F2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
471405 -  ..
471406 - Today, meeting...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
471407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471408 -               Contra Costa Dentistry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
471409 -               Alexander Ham, DDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
471410 -               2951 Salvio Street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
471411 -               Concord, CA  94519                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
471412 -               925 682 2000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
471413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471414 -                     http://www.contracostadentistry.com                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
471416 -  ..
471417 - Julia Dominguez, RDH, did cleaning today.  Excellent work.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
471419 -  ..
471420 - Julia was careful and thorough.  She explained each step when changing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
471421 - a procedure, so the patient was warned something different would be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
471422 - done.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
471424 -  ..
471425 - Julia initially used a standard dental pick, because ultrasonic scaler                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
471426 - pick tried previously produced too much water, causing problems due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
471427 - achalasia, reported on 171115 0800. ref SDS 66 1R36                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
471429 -  ..
471430 - Julie found mild gum disease seems resolved on right side upper last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
471431 - tooth, which she previously identified during dental care on 171115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
471432 - 0800. ref SDS 66 BH4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
471434 -  ..
471435 - After cleaning and polishing, Julie and an assistant measured gum                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
471436 - pockets.  There were no 5s or 6s, so very significant improvement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
471437 - compared to Doctor Grosso's examination on 161116 1500. ref SDS 61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
471438 - Z64N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
471439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471440 -               [...below on 180411 0800 Doctor Ham's Progress Notes report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
471441 -               findings gum pocket examination recession all 1 - 4s.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
471442 -               ref SDS 0 XF6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
471444 -                ..
471445 -               [On 181106 0806 submitted letter to Ham Dental with link                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
471446 -               to this record showing history of periodontal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
471447 -               examinations, and requesting submission of periodontal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
471448 -               examination results today. ref SDS 73 04F2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
471450 -  ..
471451 - History of periodontal examinations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
471452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471453 -            180430.......... 5s 6s = 0 ........... ref SDS 0 WE5M Julia in Doctor Ham's office                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
471454 -            161116............. 6s = 0 ........... ref SDS 61 Z64N  Doctor Lisa Grosso                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
471455 -            161116............. 5s = 14........... ref SDS 61 Z64N  Doctor Lisa Grosso                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
471456 -            150505............. 6s = 3 ........... ref SDS 54 JG7K Doctor David Graham                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
471457 -            150422............. 6s = 3 ........... ref SDS 53 6Z3V                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
471458 -            140416 partial..... 6s = 4 ........... ref SDS 48 6Z3V                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
471459 -            131016............. 6s = 6 ........... ref SDS 45 MY4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
471460 -            110928............. 6s = 0 ........... ref SDS 33 6Z3V Doctor Steve Olsen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
471461 -            100325............. 6s = 0 ........... ref SDS 23 SW66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
471462 -            990503............. 6s = 0 ........... ref SDS 7 3750                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
471463 -            980330............. 6s = 0 ........... ref SDS 6 1151                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
471464 -            970324............. 6s = 0 ........... ref SDS 5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
471465 -            950605............. 6s = 0 ........... ref SDS 4 007U                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
471466 -            910218............. 6s = 0 ........... ref SDS 2 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
471467 -            880419............. 6s = some......... ref SDS 1 0001 Doctor Jack Taggqrt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
471468 -            860501............. 9s = 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
471470 -  ..
471471 - Doctor Ham made examination.  He showed photographic evidence of...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
471473 -  ..
471474 - The doctor found #13 has a possible small cavity.  This was previously                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
471475 - identified about 7 years ago, by Doctor David Graham as "...wear                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
471476 - through porcelain to metal substructure - at that time work plan was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
471477 - to monitor, reported on 110928 0800. ref SDS 33 6Z49  Subsequent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
471478 - monitoring found no evidence of decay for #13 and so no repair was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
471479 - needed, 2 years later on 131016 0800. ref SDS 44 ES7M  On 150505 1600                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
471480 - Doctor Lisa Grosso made examination and found no evidence of decay in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
471481 - #13.  She recommended no remedial work is needed. ref SDS 54 P36I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
471482 - Possibly prior stable condition for past 7 years, has begun to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
471483 - worse.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
471485 -  ..
471486 - Doctor Ham further found today, what looks like another larger cavity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
471487 - - possibly #9, see Progress Notes below. ref SDS 0 LJ6S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
471489 -  ..
471490 - The doctor quoted $250 to fix each cavity for total of $500.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
471492 -  ..
471493 - Decided to monitor these conditions.  If the cavities get bigger over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
471494 - the next 6 months, then will make repairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
471495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471496 -            [On 181107 0800 Doctor Ham did not have time to check #13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
471497 -            and #9 for progression of damage to determine need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
471498 -            repairs to prevent expanding dental problems. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
471499 -            BP6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471501 -  ..
471502 - On leaving the office, the secretary said she will send the date for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
471503 - the next dental examination in 6 months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
471504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471505 -            [On 180522 1044 issued payment for dental services at Ham                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
471506 -            Dental on 180430. ref SDS 71 K56O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
471507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471508 -            [On 181025 0829 received letter from Ham Dental saying next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
471509 -            dental examination is scheduled on 181107 0800. ref SDS 72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
471510 -            04F2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
471517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
4716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

SUBJECTS
Default Null Subject Account for Blank Record                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
4803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
480401 -  ..
480402 - Progress Notes Julia and Doctor Ham                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
480403 - 
480404 - Received letter from Doctor Ham saying...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
480405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
480406 -    1.  Subject:  Pictures & findings from today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
480407 -        Date:  2018-04-30 13:14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
480411 -         ..
480412 -    2.  Rod,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
480414 -         ..
480415 -    3.  Here's the information you requested.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
480417 -         ..
480418 -    4.  4/30/18 8:47 AM                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
480419 -        Prophy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
480420 -        Full mouth scale polish and probe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
480421 -        Medical History changes: No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
480423 -         ..
480424 -        Oral cancer screen: WNL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
480425 -        Perio exam completed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
480426 -        Cavitron used: No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
480427 -        Recession: 1-4mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
480428 -        Mobility: None                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
480429 -        Plaque: Light to moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
480430 -        Calculus: Moderate lower anterior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
480431 -        Bleeding: Moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
480432 -        Stains: Moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
480433 -        OHI given, Pt currently using electric TB and dental picks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
480434 -        Advised flossing, but pt declined.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
480435 -        JD 30250                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
480436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
480437 -    5.  4/30/18 8:56 AM                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
480438 -        Periodic Exam, Intraoral photos taken.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
480439 -        Medical history reviewed, no changes. Health is improving per patient.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
480440 -        CC: Reassess #3 sensitvity- no sensitvity to scaling today. Recession is stable.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
480441 -        EO: WNL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
480442 -        Radiographic findings: N/A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
480444 -  ..
480445 - "Recession is stable" appears conflicting with significant improvement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
480446 - seen today finding all pockets < 5, per above. ref SDS 0 WE5M
480448 -  ..
480449 - Progress Notes continue...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
480450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
480451 -        Clinical findings: #13(B) open margin on crown.  Discussed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
480452 -        options of replacing full crown or buccal restoration. #9(MF)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
480453 -        line angle caries (cervical area).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
480455 -  ..
480456 - See review of #13 history, above, and decision to review in 6 months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
480457 - for consideration to make dental repairs to #13 and #9. ref SDS 0 RG6I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
480458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
480459 -            [On 181107 0800 at 6 month review, Doctor Ham did not have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
480460 -            time to check #13 and #9 for progression of damage to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
480461 -            determine need for repairs. ref SDS 74 BP6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
480463 -  ..
480464 - Progress Notes continue...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
480465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
480466 -        Recommend composite restoration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
480467 -        Caries risk: Low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
480468 -        PSR: See probe depths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
480469 -        NV: Recall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
480470 -        AH54950                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
480472 -         ..
480473 -    6.  Alexander Ham, DDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
480474 -        Tiffany Ham, DDS, MS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
480475 -        Contra Costa Dentistry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
480476 -        2951 Salvio Street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
480477 -        Concord, CA 94519                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
480478 -        925-682-2000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
480480 -         ..
480481 -    7.  Attention: Health Care Information is personal and sensitive information related to a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
480482 -        persons health care.  It is being emailed to you after appropriate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
480483 -        authorization from the patient or under a circumstance that does not require                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
480484 -        patient authorization.  You, the recipient, are obligated to maintain it in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
480485 -        a safe, secure and confidential manner.  Re-disclosure without additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
480486 -        patient consent or as permitted by law is prohibited.  Unauthorized                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
480487 -        re-disclosure or failure to maintain confidentiality could subject you to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
480488 -        penalties described in federal and state law.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
480490 -         ..
480491 -    8.  Attachments:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
480492 -        Intra oral pics1.bmp	339 KB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
480493 -        Intra oral pics2.bmp	339 KB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
480494 -        Report.pdf	29.0 KB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
480495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
480496 -            [On 180522 1044 issued payment for dental services at Ham                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
480497 -            Dental on 180430. ref SDS 71 K56O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
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