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: March 3, 2009 04:10 PM Tuesday; Rod Welch

Millie meeting review separated shoulder Kaiser Orthopedics Department

1...Summary/Objective
2...Orthopedic Examination Recovery Dislocated Shoulder


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

CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 10 0000. ref SDS 5 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040508 -  ..
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, ref SDS 10 6X9H
040957 -         ..
040958 -   11.  Orthopedic examination finds progress
040959 -        progress creating range of motion shows
040960 -        recovery beginning for dislocated right
040961 -        shoulder; sling support ended, begin
040962 -        home exercises and schedule physical
040963 -        therapy.............................. 090212, ref SDS 10 N259
040964 -
040965 -
040967 -  ..
040968 - Orthopedic Examination Recovery Dislocated Shoulder
040969 -
040970 - Follow up ref SDS 10 6X9H, ref SDS 5 6X9H.
040972 -  ..
040973 - Sharleen had Millie perform a number of range of motion tests moving
040974 - her arm and fingers in various ways.  This was more extensive today,
040975 - including moving the entire arm in the shoulder socket, than occurred
040976 - during examination with Jodi on 090212, ref SDS 10 N259,
040978 -  ..
040979 - Millie reported significant discomfort during radiation and
040980 - hyperthermia treatments at UCSF this past month, which requiring
040981 - rolling onto the right shoulder for 20 minutes at a time.
040982 -
040983 -            [On 090514 1550 pain subsides after further recovery from
040984 -            separated shoulder, and ending treatments at UCSF with
040985 -            radiation and hyperthermia which required prolonged
040986 -            positioning putting weight on the injured shoulder.
040987 -            ref SDS 11 HS6O
040989 -  ..
040990 - Sharleen indicated that Millie did very well with diagnostic tests
040991 - today.  She feels that exposure to prolonged stress on the shoulder
040992 - does not seem to have caused recurrent injury.
040994 -  ..
040995 - Sharleen wants Millie to start range of motion physical therapy at
040996 - Kaiser beginning tomorrow.
040997 -
040998 -
040999 -
041000 -
041001 -
041002 -
041003 -
041004 -
0411 -