CONTACTS 

SUBJECTS
Lymphedema Physical Therapy Left Axillary Group Session Received Pub

0903 -
0903 -    ..
0904 - Summary/Objective
0905 -
090501 - Follow up ref SDS 6 Q05H.
090502 -
090503 -
090504 -
090505 -
090507 -  ..
0906 -
0907 -
0908 - Progress
0909 -
090901 - Physical Therapy Lymphedema Personal Treatment
090902 -
090903 - Follow up ref SDS 6 Q05H, ref SDS 5 VY3F.
090904 -
090905 - Meeting at Kaiser Park Shadelands with Mary Andre Physical Therapist,
090906 - implementing planning on 060306, when Millie initially met with Mary.
090907 - ref SDS 6 UO35
090909 -  ..
090910 - Millie reported increasing symptoms of lymphedema occurred on 060308.
090911 - ref SDS 7 0001
090913 -  ..
090914 - Patient undressed to underware and socks.
090916 -  ..
090917 - The therapyst took measurements of both arms at the hand, wrist,
090918 - forearm and upper arm, which have all experienced increased swelling
090919 - since examination by the doctor on 060217, when he reported reduced
090920 - swelling. ref SDS 5 T56K
090921 -
090922 -     [On 060320 Millie commended Mary's work in a letter to Kaiser.
090923 -     ref SDS 8 ET56
090925 -      ..
090926 -     [On 060328 symptoms improve shown by slight decrease in
090927 -     measurements of left forearm. ref SDS 9 HO7F
090929 -      ..
090930 -     [On 060417 therapyst measurements show significant improvement.
090931 -     ref SDS 10 GE89
090933 -  ..
090934 - Physical therapy was performed all on the left side, as follows...
090935 -
090936 -    1.  Left arm move the right hand gently up the outside of the arm
090937 -        from the wrist to the axilla.
090938 -
090939 -            [On 060417 Mary clarified guidance for self-treatment.
090940 -            ref SDS 10 3E9O
090942 -         ..
090943 -    2.  Left side move the right hand down the left side to
090944 -        approximately waist level.
090946 -         ..
090947 -    3.  Left chest, move the right hand roughly along the line of the
090948 -        mastectomy incision from the left shoulder to mid-chest.
090950 -         ..
090951 -    4.  Left leg from above the inside of the knee to near groin level.
090953 -  ..
090954 - This demonstrated the method for daily personal therapy to promote
090955 - lymph node movement just under the skin.  After demonstrating the
090956 - procedure, the patient made the same movements for a few minutes under
090957 - supervision with the therapyst making slight adjustments to align
090958 - with correct procedures.
090960 -  ..
090961 - Mary suggested I do these therapy movements twice a day, probably
090962 - takes about two (2) minutes.
090964 -  ..
090965 - Mary wrote an order for a compression sleeve and glove, which had to
090966 - approved by Doctor Johnson.
090968 -  ..
090969 - A meeting is scheduled with a fitter on Monday 060320 1100.
090971 -  ..
090972 - Diet: Eat a balanced diet and drink 75 ounces of water a day.
090974 -  ..
090975 - Exercise is recommended, but start with 2-3 lb weights.
090977 -  ..
090978 - Wear the compression sleeve when performing exercise routines.
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090993 -
0910 -