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
480498 -
480499 -
480500 -
480501 -
480502 -
480503 -
480504 -
480505 -
480506 -
480507 -
480508 -
480509 -
480510 -
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480512 -
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4806 -