CONTACTS 

SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 5 0000. ref SDS 3 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Background...
040902 -
040903 -    1.  Millie fell and dislocated her shoulder
040904 -        at exercise class and was treated
040905 -        at Kaiser............................ 090122, ref SDS 1 CW6J
040907 -         ..
040908 -    2.  Shoulder was restored with
040909 -        reduction procedure.................. 090122, ref SDS 1 LV3O
040910 -        evaluation examination scheduled in
040911 -        Orthopedics 090129 1330.............. 090122, ref SDS 1 HW4H
040913 -         ..
040914 -    3.  Right eye above brow deep cut
040915 -        clean and suture remove stitches
040916 -        in Orthopedics Dep................... 090122, ref SDS 1 WX4M
040917 -        Special Instructions say remove
040918 -        stitehcs in 5
040919 -        days................................. 090122, ref SDS 1 4Y5K
040921 -         ..
040922 -    4.  Eye right brow stitches removed
040923 -        from cut............................. 090129, ref SDS 5 01FH
040925 -         ..
040926 -    5.  Xray shows no fracture and shoulder
040927 -        still positioned correctly 7
040928 -        days after reduction
040929 -        procedure............................ 090129, ref SDS 5 ZF7J
040931 -         ..
040932 -    6.  Clinical examination testing range
040933 -        motion indicates shoulder healing
040934 -        normally............................. 090129, ref SDS 5 YU7M
040936 -         ..
040937 -    7.  Immobilizer was prescribed for 2
040938 -        weeks 24-7........................... 090129, ref SDS 5 YU8W
040940 -         ..
040941 -    8.  Exercises demonstrated for range of
040942 -        motion............................... 090129, ref SDS 5 TE5M
040944 -         ..
040945 -    9.  Lymphedema recurrence on left arm
040946 -        from constriction caused by
040947 -        immobilizer on right arm, so
040948 -        this was removed..................... 090201, ref SDS 7 KN4S
040950 -         ..
040951 -   10.  Right arm manipulated on 090209 by doctor
040952 -        at UCSF for xray and CT scans to plan
040953 -        hyperthermia treatment required for
040954 -        Millie to recover from cancer
040955 -        reported............................. 090212
040956 -
040958 -  ..
040959 - Orthopedic Examination Recovery Dislocated Shoulder
040960 -
040961 - Follow up ref SDS 5 6X9H.
040962 -
040963 - Jodie did not get a copy of Millie's letter sent to the medical team
040964 - earlir this morning on 090212 0017, today notifying the Orthopedic
040965 - Department, ref SDS 11 1N3R, that UCSF manipulated Millie's right arm
040966 - on 090209 in order to perform xray and CT scans to plan hyperthermia
040967 - treatment required for Millie to recover from cancer. ref SDS 10 E663
040969 -  ..
040970 - Jodie advised that careful manipulation of an arm with severe
040971 - dislocation, which Millie suffered on 090122, and shown in xrays at
040972 - Kaiser on 090129, ref SDS 5 TE99, should not present a risk unless the
040973 - arm was moved with the elbow raised and twisting away from the body
040974 - toward the back.  She said this movement risks poping the shoulder
040975 - loose, because that was the direction of separation and so is now the
040976 - weakest positioning the shoulder.
040978 -  ..
040979 - Millie explained that the doctor at UCSF had to move the arm in that
040980 - direction in order to position test and layout equipment for cancer
040981 - treatment.  This was done slowly and carefully to minimize pain.
040983 -  ..
040984 - Jodie asked if this movement was performed by an orthopedic doctor,
040985 - PA, or physical therapyst to minimize risk?
040987 -  ..
040988 - Millie recalled there were 4 - 6 people in the room doing various
040989 - things.  Most of the layout was done by Doctor Hsu, with Radiation
040990 - Oncology.  There was not enough time for the team to provide a record
040991 - of who attended the meeting, what work each performed.  She just
040992 - doesn't know.
040994 -  ..
040995 - Jodie had Millie perform several range of motion tests moving her arm
040996 - and fingers in various ways.  This was more extensive, including
040997 - moving the entire arm in the shoulder socket.  She said Millie did
040998 - very well.
041000 -  ..
041001 - Jodie did not do an xray today to evaluate condition of right arm
041002 - after removing from immobilizer on 090201, ref SDS 7 KN4S, and notice
041003 - of UCSF manipulating right arm on 090209 for planning cancer
041004 - treatment.
041006 -  ..
041007 - Jodie wants Millie to start range of motion physical therapy at home.
041009 -  ..
041010 - Scheduled follow up examination in 3 weeks on 090304.
041012 -  ..
041013 - Jodi will submit the record of the meeting today using Kaiser's
041014 - Knowledge Management proprietary, closed email system...
041015 -
041016 -            http://www.kp.org/mydoctor/jodireynolds
041018 -  ..
041019 - Access failed at this address.
041020 -
041021 -
041022 -
041023 -
041024 -
041025 -
041026 -
0411 -