CONTACTS 

SUBJECTS
Symptoms Lymphadema Rise Left Axilla Swells Discomfort Cord-like Bul

0703 -
0703 -    ..
0704 - Summary/Objective
0705 -
070501 - Follow up ref SDS 7 0000, ref SDS 6 0000.
070502 -
070503 - Called Millie today.  Her left arm feels heavy.  She is aware of it,
070504 - unlike the right arm.  When she got home, she described discomfort in
070505 - the left arm, but not actual pain.  It looks swelled from the
070506 - shoulder to the wrist, including the left hand.
070507 -
070508 -     [On 060314 reported rising symptoms to the therapyst. ref SDS 8
070509 -     GE8H
070511 -      ..
070512 -     [On 060328 symptoms improve shown by slight decrease in
070513 -     measurements of left forearm. ref SDS 9 HO7F
070515 -  ..
070516 - We discussed guidance in Kaiser's manual on lymphedema, reviewed on
070517 - 060306. ref SDS 7 VV3O  A key point might be a requirement to bandage
070518 - the afflicted arm during exercise. ref SDS 7 Q155  Millie has been
070519 - exercising for several months without a bandage.  This may account for
070520 - accelerated symptoms, per analysis in the record on 060306.
070521 - ref SDS 7 5Q7H
070522 -
070523 -     [On 060314 physical therapyst confirmed diet and exercise guidance
070524 -     for lyphedema. ref SDS 8 KO44
070526 -  ..
070527 - Mil plans to discuss diet and exercise guidance with the therapist
070528 - during the meeting scheduled for 060314, reported on 060306.
070529 - ref SDS 7 UO35
070530 -
070531 -     [On 060314 physical therapy treatment and new guidance for
070532 -     lymphedema; begin regimin of personal massage treatments to reduce
070533 -     swelling left arm. ref SDS 8 Q05H
070534 -
070535 -
070536 -
0706 -

SUBJECTS
Dizziness Symptoms Continue After Cerumen Plug Treatment to Clear Ea

0903 -
090401 -  ..
090402 - Dizziness Continues After Cerumen Treatment
090403 -
090404 - Follow up ref SDS 6 PT4K.
090405 -
090406 - On 060217 the doctor made referral for bilateral ear washing to
090407 - relieve dizziness caused by cerumen plugs. ref SDS 6 W54K  This
090408 - treatment was effective relieving symptoms of dizziness several years
090409 - ago, as reported on 030915. ref SDS 2 WS47
090411 -  ..
090412 - Millie advised today, however, that unlike prior success on 030915,
090413 - dizziness continues following treatment a few weeks ago.
090415 -  ..
090416 - Millie explains there does not seem to be dizziness getting during the
090417 - night, but only during the monring OA 0500.  The problem may relate
090418 - to the period of laying down.
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0905 -