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: February 3, 2009 10:17 PM Tuesday; Rod Welch

Millie complains of pain in right arm injured on 090122.

1...Summary/Objective


..............
Click here to comment!

CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 6 KN4S, ref SDS 5 AY7T.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - This evening about 2215 Millie woke up and complained of pain in the
040902 - upper right arm.  Not so much in the shoulder itself, but along the
040903 - arm from the elbow to the shoulder.
040905 -  ..
040906 - Millie is concerned that during the day, while moving about or sitting
040907 - up in a chair, she does not suffer pain in the arm.  At night lying
040908 - down pain increases to the point of affecting sleep.  She cannot sleep
040909 - on the left side because this causes pain from compressing the skin on
040910 - the breastbone area that is now heavily infected with IBC, reported to
040911 - the medical team on 090201, ref SDS 6 KN9T, and initially on 090128 in
040912 - a letter to the medical team. ref SDS 2 2S8X  She cannot roll onto the
040913 - right shoulder during the healing period, which could take a year.
040915 -  ..
040916 - Release Special Instructions received from Kaiser on 090122 when
040917 - Millie was treated for a dislocated shoulder. ref SDS 1 UR4O, say in
040918 - part...
040919 -
040920 -            In a few weeks, exercise and physical therapy can help you
040921 -            regain normal strength and movement.  It can take up to a
040922 -            year for your shoulder to heal and be free of pain.  Be
040923 -            sure to talk to your doctor or other health care
040924 -            professional if you continue to have shoulder problems.
040925 -            ref DRP 1 02QV
040927 -  ..
040928 - Millie recalled the Physician Assistant, Mike, commented during
040929 - examination in the Orthopedics Department at Kaiser on 090129 that she
040930 - would suffer pain in the arm because of tissue that was torn when the
040931 - shoulder dislocated.  Initially, broken nerves make the area seem
040932 - numb.  As the nerves repair themselves, they sense major trauma to
040933 - surrounding tissue and signal pain during the healing process.
040934 - ref SDS 4 TE9O
040936 -  ..
040937 - Millie recalled the technician who configured a harness immobilizer on
040938 - the right arm during the examination in the Orthopedics Department on
040939 - 090129 recommended sleeping upright. ref SDS 4 FN4F
040941 -  ..
040942 - This evening, Millie arranged bedding with pillows to provide a more
040943 - vertical sleeping position.
040945 -  ..
040946 - Millie checked medication instructions, and feels she can take more
040947 - Vicadin and Tylenol.  She has been taking about a third of prescribed
040948 - levels because of fears about over-medicating.  This likely explains
040949 - rising pain interuppting sleep late this evening, per above.
040950 - ref SDS 0 KE5I
040952 -  ..
040953 - Millie took one of each about an hour apart.  She then slept through
040954 - the night.
040955 -
040956 -        [On 090204 1622 Millie called Kaiser on 090203 for assistance
040957 -        with pain from IBC and shoulder injury and rising pain has been
040958 -        interrupting sleep on 090203 2217, ref SDS 0 KE5I; reports
040959 -        implementing Kaiser instructions, ref SDS 8 135F, to double the
040960 -        dose prescribed for pain medication and the doctor will
040961 -        prescribe low-dose morphine, ref SDS 8 D64W, resolving fears of
040962 -        over medicating by taking only 30% of prescribed dose levels,
040963 -        also reported on 090203 2217. ref SDS 0 L74H
040965 -  ..
040966 - Another problem is increased bruising.
040968 -  ..
040969 - Severe bruising from the inner right arm to the elbow was reported to
040970 - the medical team in a letter on 090128. ref SDS 2 OR4F  Later that
040971 - day, Doctor Johnson, the primary care physician and does not prescribe
040972 - treatment for bruising. ref SDS 3 OR4F
040974 -  ..
040975 - Today, brusing has begun to spread on the lower right side just above
040976 - the hip.
040978 -  ..
040979 - Good news is that lymphedema on the left arm, reported on 090201, has
040980 - mostly subsided as a result of taking off the harness-sling.
040981 - ref SDS 6 KN4S
040982 -
040983 -        [On 090205 lymphedema recurrence from overuse of left arm
040984 -        because right arm healing from dislocated shoulder.
040985 -        ref SDS 9 9Y5I
040986 -
040987 -
040989 -  ..
0410 -
0411 -
0412 - 0026
0413 -
041301 - Millie still up; reports feeling fine; pain now supressed.
041302 -
041303 -
041304 -
041305 -
041306 -
041307 -
041308 -
0414 -