THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rodwelch@pacbell.net


S U M M A R Y


DIARY: July 5, 2002 10:33 AM Friday; Rod Welch

Visit Richard and Ron in Scotts Valley.

1...Summary/Objective
2...Clearing Brush to Reduce Fire Danger, Ron in Excellent Physical Shape
3...Ron commented about having lost weight; he is down to about 170 pounds
4...Home Might Sell for $1.5M+ based on Improvements and Redwood Trees
5...Need Social Interaction Looking Forward to Dinner with Neighbor
6...Family Very Helpful for Ron's Recovery; Needs Assistance Remembering
7...Driving Top Priority to Overcome Fear, Loss of Power and Control
8...Family Friends Socialization Helpful Therapy
9...Memory Takes Time to Repair, Richard Recovering from Similar Problem
10...Richard Explained Symptoms of Heart Attack and Obtaining Treatment
11...Driving Test Showed Progress, Recovery Needed for Handling Complexity
12...Recovery Will Occur Over Many Months, Can be Helped by New Location
13...Renting a Place in Scotts Valley May Aid Recovery and Socialization
14...Vacation with Donna to Visit Brother in Oregon
15...Ron Wants Second Opinion on Medical Condition
16...Medication Received from Kaiser, Need Second Opinion, Advocate for Ron
17...Tired from a Long Day, Sleep Restores Energy and Focus
18...Marking Board for Living Room to Make Visible Things to Remember


..............
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CONTACTS 

SUBJECTS
Leadership Helps People Take Paths they are
Ron Useldinger
Richard Popejoy

0505 -
0505 -    ..
0506 - Summary/Objective
0507 -
050701 - Follow up ref SDS 38 0000, ref SDS 37 0000.
050702 -
050703 - Ron called this morning and said he is working up on the deck, and so
050704 - to come up there when we arrive.  Estimated we would arrive OA 1130.
050706 -  ..
050707 - Picked up Richard OA 1140 at his place in Campbell, per discussion on
050708 - 020703. ref SDS 38 4A5O
050710 -  ..
050711 - We drove up highway 17 to Ron's.  On the way, Richard used his cell
050712 - phone to call Ron and let him know we will arrive closer to 1200.
050713 -
050714 -     [On 020706 notified family of visit. ref SDS 39 F13G
050715 -
050716 -     [On 070105 Dennis writes with good memories visiting Ron and Keven
050717 -     as Canadian representative for Ron's company. ref SDS 43 3M5J
050719 -  ..
050720 - When we arrived, Ron had completed work on his upper deck, at least
050721 - for today.  He walked us back up the hill to show what he had done.
050722 - Richard commented on the magnificent stand of redwood trees all
050723 - throughout Ron's property.  He pointed out a particular group of trees
050724 - where a fire had occurred and asked how long ago that happened?
050726 -  ..
050727 - It gave the appearance of a splendid, towering cathedral.
050729 -  ..
050730 - Ron explained the fire was over 70 years ago, which accounted for the
050731 - tremendous growth that has repaired most of the former damage.
050733 -  ..
050734 - Ron noted he has been lucky not to have suffered forest fires during
050735 - the 20+ years he has owned the property, but he is not taking any
050736 - chances.
050737 -
050739 -  ..
050740 - Clearing Brush to Reduce Fire Danger, Ron in Excellent Physical Shape
050741 -
050742 - Follow up ref SDS 35 TK9I.
050743 -
050744 - Ron showed work done this morning to cut and clear brush surrounding
050745 - the upper deck.  It appeared to be very difficult for anyone to work
050746 - on the side of a steep incline where Ron had cleared away brush under
050747 - the deck.  This illustrates the top physical shape Ron has maintained
050748 - to enable a 70 year old man to do this kind of difficult work.  Ron
050749 - jumped up on one of the side benches to point out something in the
050750 - trees near the South property line.  This feat of easily jumping
050751 - vertically about 18 inches, further showed he is in very good shape,
050752 - as indicated on 020619 during a prior visit. ref SDS 35 TK9I
050753 -
050755 -  ..
050756 - Ron commented about having lost weight; he is down to about 170 pounds
050757 - from continuing to workout on the Isorobic exerciser, and being
050758 - careful about diet.  He recalled some years ago meeting Jack LaLane
050759 - and his wife at a convention, where LaLane was a featured speaker.
050760 - Ron remembered LaLane reported working out for several hours every day
050761 - to keep in shape.  Ron was pleased that the program he has developed
050762 - using the Isorobic equipment he developed and marketed enables people
050763 - to stay in shape by investing only about 15 minutes a day.
050764 -
050765 -     [On 020706 Krista is worried about Ron's blood pressure, possibly
050766 -     from taking pep pills the past few years, and that he is losing
050767 -     weight because he is forgetting to eat, ref SDS 39 RH9O, which
050768 -     makes it more important that someone be staying with him, as
050769 -     recommended by the therapist on 020619. ref SDS 35 554J
050770 -
050772 -  ..
050773 - Home Might Sell for $1.5M+ based on Improvements and Redwood Trees
050774 -
050775 - Ron recalled that the earthquake of 1989 caused a lot of damage to his
050776 - home.  Doing the repairs, which was paid by insurance, led to other
050777 - work on expansion and improvements.  Richard and I noticed that the
050778 - home and grounds are greatly changed from our last visit 15 years ago
050779 - or so.
050781 -  ..
050782 - Ron asked for a "guestimate" of the price he could get for the
050783 - property?
050785 -  ..
050786 - About $1.5 - $3M would not be terribly far off, based on escalation of
050787 - prices the past few years.  For example, Millie's son Steve and his
050788 - wife Lilly, recently sold a very small place in Burlingame for $500K,
050789 - reported on 020602. ref SDS 27 RO8F  Ron mentioned that others have
050790 - pointed out that difficulty getting onto and off of Highway 17, and
050791 - the winding access road reduce the value of the property.
050793 -  ..
050794 - There was discussion about the value of the trees that may offset
050795 - access issues.  Difficult access will certainly reduce the number of
050796 - people willing to live at Ron's location.  It takes someone with an
050797 - adventurous spirit to live here, similar to Steve and Lilly's place in
050798 - Burlingame on Peninsula Avenue.  Not many people want to take the
050799 - chance of dealing with difficult traffic.  So, it is only a guess what
050800 - someone would pay for Ron's place.  Selling prices of other homes in
050801 - the neighborhood are sometimes a good indicator.  Local real estate
050802 - agents would be a good source.
050804 -  ..
050805 - Later, when we left for lunch, Richard pointed out several deer near
050806 - by in the woods, as we navigated down the access road toward the
050807 - freeway.  This nearness to nature lends warmth and charm that makes
050808 - Ron's home such a great delight, and is highly valued by some buyers.
050809 -
050810 -
050812 -  ..
050813 - Need Social Interaction Looking Forward to Dinner with Neighbor
050814 - Family Very Helpful for Ron's Recovery; Needs Assistance Remembering
050815 -
050816 - Follow up ref SDS 35 537J.
050817 -
050818 - Ron walked us back down the stairs from the upper deck, and across the
050819 - street to show the size of his property.  He loves these grounds and
050820 - takes deserving pride in stewardship that has maintained a beautiful
050821 - wooded area for many years, seen by work to reduce fire hazard, per
050822 - above. ref SDS 0 YJ5L
050824 -  ..
050825 - He mentioned having been invited to dinner tomorrow evening by a
050826 - neighbor.  He is looking forward to this, and may have indicated this
050827 - is the first time in many years that he has been invited to dinner by
050828 - a neighbor.  He is looking forward to a social occasion, but worried
050829 - about how to explain his speech difficulty.  Ron cried some thinking
050830 - about this (discussed again, per below, ref SDS 0 MX8G). Richard said
050831 - not to worry that he is fine with people.
050833 -  ..
050834 - We walked down the hill and went into his office outside the house on
050835 - the North side.  The office is well maintained, and has a lot of
050836 - mementos reflecting a long, productive career.  There are pictures of
050837 - Donna and the kids growing up, and now of the grandkids.  He is very
050838 - proud of his family, and their accomplishments in raising another
050839 - generation of Useldingers to make their mark on the world.
050841 -  ..
050842 - Ron said the tenants he has had living in the downstairs area recently
050843 - moved.  He is thinking of renting the place out again.
050844 -
050845 -      [On 020706 report that Ron's tenants moved because they had an
050846 -      autombile accident while trying to leave the property and get
050847 -      onto highway 17. ref SDS 39 MO6H
050849 -  ..
050850 - We discussed renting to someone who could provide support for Ron as a
050851 - friend and companion to help look out for things.  Ron feels this is a
050852 - good idea, which aligns with recommendations by the therapist reported
050853 - on 020619. ref SDS 35 554J
050854 -
050856 -  ..
050857 - Driving Top Priority to Overcome Fear, Loss of Power and Control
050858 -
050859 - Follow up ref SDS 35 565M.
050860 -
050861 - Ron suggested we drive to Scotts Valley for lunch.
050862 -
050863 -     [On 070420 lunch again at same restaraunt with Richard, Rob, and
050864 -     Ron. ref SDS 44 6D7K
050866 -  ..
050867 - On the way to town, Ron talked about looking forward to driving again.
050868 - He feels his recovery is progressing well and that being able to drive
050869 - would be a big help, because he feels sort of like a prisoner up
050870 - there, having to wait for family and friends to come get him.  He
050871 - knows that Kurt and others are doing everything they can, but he hates
050872 - having to call and interrupt their lives in order to give him a ride.
050873 -
050874 -     [...below, Ron discusses driving again. ref SDS 0 L19F and
050875 -     ref SDS 0 LY9L
050877 -      ..
050878 -     [On 020712 Donna reports that Ron got his car fixed and is driving
050879 -     again. ref SDS 40 0001
050881 -      ..
050882 -     [On 020716 Ron called and explained he has obtained a driving
050883 -     certificate; he feels much better now that he can drive to town.
050884 -     ref SDS 41 0001
050886 -  ..
050887 - I asked Ron if he has gone for a walk just to get away, and so walked
050888 - along Highway 17?  (Did not mention discussion with Donna on 020703
050889 - about this matter. ref SDS 38 C45H)
050891 -  ..
050892 - Ron said that would be too dangerous, and he has not done that.
050893 -
050894 -     [...below, Ron explains getting a ride with a community support
050895 -     group that may have entailed walking to the highway to be picked
050896 -     up so people don't have to find his place up on the hill.
050897 -     ref SDS 0 J49H
050899 -  ..
050900 - He was again effective giving directions during the drive, showing he
050901 - has good command of activity in front of him, noted during the visit
050902 - on 020614. ref SDS 35 565M
050904 -  ..
050905 - At the restaurant we ordered hamburgers and cokes, along with one
050906 - serving of fries to split.
050908 -  ..
050909 - During lunch Ron talked more about passing an upcoming driving test.
050910 - He said the test has been scheduled several times and then delayed
050911 - while his recovery is being assessed by the doctor.  Ron was not very
050912 - happy about his doctor. He has a meeting next Wednesday with the
050913 - doctor at Kaiser.  There was discussion about getting a second opinion
050914 - to assure the family that Ron's treatment is on track.  He did not say
050915 - who would be going with him to the meeting at Kaiser, as we discussed
050916 - on 020604. ref SDS 28 BT4K
050917 -
050918 -     [On 020712 Donna reports that Ron got his car fixed and is driving
050919 -     again. ref SDS 40 0001
050921 -      ..
050922 -     [On 030205 Ron reports having not passed a driver's test and so
050923 -     cannot get his driver's license renewed; planning to move to town
050924 -     and sell his place on the hill. ref SDS 42 WM5V
050926 -  ..
050927 - He cried a bit relating the sense of fear and helplessness that comes
050928 - with impairment of memory.  He feels sure he can drive, but is worried
050929 - he may have difficulty with a written test.  He also mentioned several
050930 - times concern that his speech is "funny," and so he is embarrassed
050931 - talking to people, per above dinner engagement with his neighbor.
050932 - ref SDS 0 EJ5I  Actually, his speech is fine, i.e., normal. He has
050933 - difficulty sometimes remembering how to finish a sentence, and this is
050934 - very frustrating and frightening because he is aware of the problem,
050935 - and cannot do anything to fix it.
050936 -
050937 -     [On 020716 Ron called and explained he has obtained a drivers
050938 -     certificate; he feels much better now that he can drive to town.
050939 -     ref SDS 41 0001
050941 -  ..
050942 - Richard offered personal experience from his heart attack this past
050943 - September.  He understands Ron's worry from having suffered temporary
050944 - loss of memory, and recalled being afraid to take up a regular
050945 - schedule for some time.  His son had to really work with him for quite
050946 - awhile before Richard was able to drive.
050947 -
050948 -     [On 081007 1130 Richard hospitalized for 10 days with blood clot
050949 -     in June or July 2008. ref SDS 45 5J70
050951 -      ..
050952 -     [On 081223 1222 Richard hospitalized again for 4 days to recover
050953 -     from a heart attack. ref SDS 46 CZ7M
050955 -  ..
050956 - Richard said he had to sell his dental practice, because his hand
050957 - shakes too much for performing the careful, controlled work required
050958 - for dentistry.  Did not discuss today why Richard could not keep the
050959 - business by managing other doctors.  What about teaching, consulting,
050960 - writing?
050961 -
050962 -     [On 091021 0716 heart bypass surgery correlations with salt diet
050963 -     issue causing long-term cornory injury or heart attack.
050964 -     ref SDS 47 7390
050966 -  ..
050967 - Richard is now driving to work, but still feels regular driving on the
050968 - highway is not a pleasant experience.
050970 -  ..
050971 - Ron said he would like to try driving?  He feels he is ready.
050972 -
050973 -     [On 081007 1130 Richard recovering some from diebetes; bought a
050974 -     car and is driving more. ref SDS 45 MG6H
050975 -
050976 -
050978 -  ..
050979 - Family Friends Socialization Helpful Therapy
050980 - Memory Takes Time to Repair, Richard Recovering from Similar Problem
050981 - Richard Explained Symptoms of Heart Attack and Obtaining Treatment
050982 -
050983 - Richard discussed the long recovery he had from his ordeal, and showed
050984 - the 9" scar on his left arm where the surgeon removed tissue to repair
050985 - his damaged heart.  He related experience leading up to recognizing he
050986 - had suffered a heart attack.  Initially, he felt a tightening on both
050987 - sides of his jaw.  A little later he felt two (2) sharp stabs in his
050988 - chest, and illustrated by pressing his index and middle finger hard
050989 - against my chest on either side of the breast bone, just below the
050990 - collar bone.  He was living alone, and so had to drive himself to the
050991 - hospital, where an attendant admitted him.  Richard told the attendant
050992 - that he had likely suffered a heart attack.  The attendant took an EKG
050993 - and said it looks okay.  A few minutes later, Richard had another
050994 - attack, and asked the attendant to do the EKG again.  This time the
050995 - machine recognized significant problems, and Richard was rushed into
050996 - surgery.
050997 -
050998 -     [On 091021 0716 heart bypass surgery correlations with salt diet
050999 -     issue causing long-term cornory injury or heart attack.
051000 -     ref SDS 47 7390
051002 -  ..
051003 - So, he and Ron have had parallel experiences, with Richard having come
051004 - through and on the road to recovery.  He said his right hand still
051005 - shakes a little, but it was not noticeable today.
051007 -  ..
051008 - We talked about emotional scars that occur from trauma that disrupts
051009 - life, as Ron and Richard have suffered.  Only time and love of family
051010 - can heal these scars, but it is hard to be patient, when your whole
051011 - life has been active, and now there is only uncertainty and doubt
051012 - about the future.  Richard explained how his family rallied to help
051013 - him even though he and Kathy are having difficulties in their
051014 - marriage.  Ron asked if he and Kathy still talk?  We were pleased that
051015 - Richard said they keep in touch a lot, and that Kathy came to the
051016 - hospital with their daughter and son, to be with Richard during his
051017 - operation.
051019 -  ..
051020 - Ron likes having Donna near because they can talk about things that
051021 - help him remember.  This is powerful therapy for recovery.
051022 -
051024 -  ..
051025 - Driving Test Showed Progress, Recovery Needed for Handling Complexity
051026 -
051027 - After lunch, we drove to a large vacant lot there in town.  Ron
051028 - said this was formerly the Scotts Valley airport, which accounts for
051029 - the mostly empty area.  On the way, a car passed in front of us making
051030 - a turn, and Ron said "Look there; I know I can drive as well as that
051031 - lady," referring to the elderly driver, who could barely see over the
051032 - dash, but otherwise made a harrowing left turn in heavy traffic
051033 - without incident.
051035 -  ..
051036 - After further discussion, we parked in the vacant lot, and Ron drove
051037 - the car around for a few minutes to test his feeling about being ready
051038 - to drive.  He was able to navigate pretty well starting and stopping,
051039 - turning to miss objects.  We drove out of the lot and down an empty
051040 - street for about a block and half, reaching a speed of about 15 MPH,
051041 - then came back, and ended the driving test.  Ron said he felt pretty
051042 - good, but feels tired.  He plans to take a nap when we get back home.
051043 - (see below, ref SDS 0 KA4G)
051044 -
051045 -      [On 020706 discussed driving test with Donna. ref SDS 39 F13G
051047 -       ..
051048 -      [On 020707 discussed driving test with Krista. ref SDS 39 F161
051050 -       ..
051051 -      [On 020716 Ron called and explained he has obtained a driving
051052 -      certificate; he feels much better now that he can drive to town.
051053 -      ref SDS 41 0001
051055 -       ..
051056 -      [On 030205 Ron did not pass his driver's test, and so cannot get
051057 -      driver's license renewed. ref SDS 42 WM5V
051059 -  ..
051060 - This experience showed that Ron handles the physical aspects of
051061 - driving well.  He is a little hesitant, as to be expected from not
051062 - having driven for some time, and being nervous about wanting to make a
051063 - good impression.  He remembered to turn and look over his shoulder and
051064 - to use the rear view mirrors, as needed to determine surrounding
051065 - traffic conditions (which in this case there was none, because of our
051066 - location).  Richard noted that the difficulty he had after his heart
051067 - attack was holding in his head surrounding conditions, for example
051068 - turning your head to look over your shoulder to check conditions, and
051069 - then integrating what was just observed with what is in the forward
051070 - field of vision.  People normally do this with ease, but loss of short
051071 - term memory makes this more difficult.
051072 -
051074 -  ..
051075 - Recovery Will Occur Over Many Months, Can be Helped by New Location
051076 - Renting a Place in Scotts Valley May Aid Recovery and Socialization
051077 -
051078 - Ron became emotional again, realizing that this part of normal
051079 - driving is still out of reach, and may never be possible given his
051080 - location up on the hill with dangerous access to and from Highway 17
051081 - where he has no opportunity to practice driving.
051083 -  ..
051084 - Richard noted that with more time for recovery, taking his medication,
051085 - following the doctor's guidance, and with help from family and
051086 - friends, Ron can look forward to driving again.  Right now he is not
051087 - in a position to handle the complexity of cars coming in different
051088 - directions and the immediacy of reacting to common driving scenarios.
051089 - In a few months this can get better, but it could take 6 months or
051090 - more.
051091 -
051092 -      [On 020716 Ron called and explained he has obtained a driving
051093 -      certificate; he feels much better now that he can drive to town.
051094 -      ref SDS 41 0001
051096 -       ..
051097 -      [On 030205 Ron did not pass his driver's test, and so cannot get
051098 -      driver's license renewed. ref SDS 42 WM5V
051100 -  ..
051101 - We decided to go to Santa Cruz to see the ocean and sites.
051103 -  ..
051104 - Out on Highway 17, traffic was very slow, nearly a crawl, so we
051105 - changed plans and headed back to Scotts Valley where we stopped for an
051106 - ice cream cone at Ron's favorite place.
051108 -  ..
051109 - Richard discussed the idea of Ron moving off the hill for a few
051110 - months.  He could rent an apartment or even a home for $2K or so per
051111 - month, and this would provide freedom to walk around town to the
051112 - places he likes to visit.  He would be within a mile of Kurt's house,
051113 - so he could walk there when he wanted.  Ron could become involved with
051114 - community groups and support groups where he can interact regularly
051115 - with people.  Ron seemed to indicate that he enjoys talking to people.
051116 - This might speed recovery, so he can drive sooner than if he remains
051117 - isolated up on the hill where he has no opportunity to practice
051118 - driving, as we did today.
051119 -
051120 -      [On 030205 Ron planning to sell his home and move to the town of
051121 -      Scotts Valley. ref SDS 42 VZ6K
051123 -  ..
051124 - Ron mentioned that a support group recently picked him up.  This may
051125 - have been an occasion when he walked down to Highway 17 to wait for
051126 - them to pick him up, per question above about walking along Highway
051127 - 17, ref SDS 0 VL74, and mentioned by Donna on 020703. ref SDS 38 C45H
051128 - Not sure about this, however, he really enjoyed the opportunity of
051129 - getting help from this group, and is planning more excursions.
051131 -  ..
051132 - Another advantage of renting down in Scotts Valley is that he can have
051133 - someone live with him or hire a nurse, so he gets regular support and
051134 - has someone to talk to and do things with, as suggested by the
051135 - therapist, Dawn, on 020619. ref SDS 35 QY8K  Ron's condition is not
051136 - unusual in the sense that Kaiser and other family planning resources
051137 - must have a lot of experience offering guidance on making these kind
051138 - of practical arrangements to help people partially impaired and
051139 - recovering from stroke.
051140 -
051141 -     [On 020706 locating in town makes it easier to take Ron's blood
051142 -     pressure that has been too high despite all the exercise he does,
051143 -     and facilitate someone living with him or being with him during
051144 -     most of the day to ensure he does not forget to eat, which may be
051145 -     cause precipitious drop in weight, ensuring he takes his medicine,
051146 -     etc. ref SDS 39 RH9O
051148 -  ..
051149 - At an appropriate time, Ron could start practicing to regain his
051150 - driving skills in a controlled setting.  Ron seemed to recognize he
051151 - may never be able to handle the dangerous situation driving to and
051152 - from his present home.  He can afford for a few months to even a year,
051153 - to keep his current home while renting a place that is more
051154 - accessible.  He could then go and stay on the hill during weekends, or
051155 - whenever he likes, but the point is that getting down from his home on
051156 - the hill that has very limited access, and into town, will give him a
051157 - lot more freedom to do things, rather than be a prisoner in his own
051158 - home.
051159 -
051160 -      [On 020706 report that Ron's tenants moved because they had an
051161 -      autombile accident while trying to leave the property and get
051162 -      onto highway 17. ref SDS 39 MO6H
051163 -
051165 -  ..
051166 - Vacation with Donna to Visit Brother in Oregon
051167 -
051168 - We talked about Ron taking a vacation.  Ron said he would like to get
051169 - away for awhile.  He has done this in the past with Richard, but
051170 - Richard said today that he is not ready to go on a vacation at this
051171 - time.
051173 -  ..
051174 - We raised the idea of Ron inviting Donna to take him on a vacation,
051175 - and to stay with him in Scotts Valley in a rental, where she would not
051176 - have to drive up the hill to his current home.  For example, Ron
051177 - mentioned wanting to visit his brother in Oregon.  This could be a
051178 - nice drive over many days, or a week, or they can fly up there, etc.
051179 -
051180 -      [On 020716 Ron flying to Portland, Oregon to visit his brother,
051181 -      and then his brother is driving them to Minnisota for a 10 day
051182 -      vacation. ref SDS 41 YE5I
051184 -  ..
051185 - Ron smiled about this idea and said that Donna had recently hugged him
051186 - and told him about Rod wanting them to get back together.
051188 -  ..
051189 - Driving back, Ron insisted that we swing by Kurt's place to show
051190 - Richard the project Kurt has underway expanding his house.  We drove
051191 - by and stopped briefly, but did not bother the family on this
051192 - occasion.  Looks like Kurt has made a lot of progress the past few
051193 - weeks.  Ron seemed to indicate Kurt has started exterior siding work
051194 - to close up the structure.
051196 -  ..
051197 - Ron likes visiting at Kurt's, but doesn't like to be an imposition. He
051198 - indicated that if he had a place of his own near Kurt, he would be
051199 - able to walk to and from Kurt's place and so feel more in control of
051200 - his life, and less of a burden on his family.
051201 -
051203 -  ..
051204 - Ron Wants Second Opinion on Medical Condition
051205 - Medication Received from Kaiser, Need Second Opinion, Advocate for Ron
051206 -
051207 - Follow up ref SDS 35 V55M.
051208 -
051209 - Back at Ron's house, we looked at his medicine.  There was a new
051210 - bottle of Mevacor on the kitchen counter, showing he received the
051211 - prescription ordered during the last visit on 020614. ref SDS 35 TL6O
051213 -  ..
051214 - I asked Ron if he is taking his medicine?  He did not seem
051215 - enthusiastic about this issue, so did not pursue it.  There was still
051216 - one pill left in the bottle of Mevacor, which could indicate he has
051217 - not taken this medicine since the visit on 020614, when we noticed he
051218 - had one pill remaining and so ordered the refill. ref SDS 35 V55M
051220 -  ..
051221 - Confidence in the doctor can be approached by getting a second
051222 - opinion.  This could be within, but also outside of the Kaiser system.
051224 -  ..
051225 - Ron asked how this could be accomplished?
051227 -  ..
051228 - We suggested talking to the family and his lawyer to come up with a
051229 - plan for helping Ron advocate for his objectives to strengthen medical
051230 - care.  Most likely, a second opinion will corroborate what his current
051231 - doctor is doing; but, sometimes helpful new ideas result.  In either
051232 - case, proactive management that confirms or expands current treatment
051233 - will provide helpful guidance for ensuring recovery.
051234 -
051236 -  ..
051237 - Tired from a Long Day, Sleep Restores Energy and Focus
051238 - Marking Board for Living Room to Make Visible Things to Remember
051239 -
051240 - We talked about getting a big marking board to set up in the living
051241 - room for listing reminders of things to do.  Ron said that would be
051242 - helpful, because he spends a good deal of time in the living room
051243 - watching television and reading.
051245 -  ..
051246 - He asked that this idea be passed along to Kurt, as shown in the
051247 - record of the last visit on 020619. ref SDS 35 VQ6L
051249 -  ..
051250 - As we ended our visit, Ron went over things to think about and
051251 - remembered a good deal about getting an apartment or house in town so
051252 - that he is not stuck up here on the hill and can have more social
051253 - interaction with the family and community; talking to the family about
051254 - getting a second opinion on his treatment, going on vacation with
051255 - Donna and so forth.  He liked the chance to drive the car today, and
051256 - feels this sets a goal he can work on to get better.
051258 -  ..
051259 - Ron will take a nap.  He said that heavy work this morning, and
051260 - concentrating to carry on discussion during our visit today is tiring.
051261 - He feels much better after getting some sleep.
051263 -  ..
051264 - He asked when we are coming back?
051266 -  ..
051267 - Now that we have Ron's new phone number, we will keep in touch and try
051268 - to come back in a few weeks or so.
051270 -  ..
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