THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rod@welchco.com


S U M M A R Y


DIARY: November 19, 2011 09:33 AM Saturday; Rod Welch

Bob called on progress organizing for release from Mission View.

1...Summary/Objective
2...Bob Cut Loose by Mission View Refusal Treat Surgery Complications
3...Mission View Refuse Treat Surgery Complications Release Bob Saturday
4...Bob Release Saturday Mission View Refuse Treat Surgery Complications


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

CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
0403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0403 -    ..
0404 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
0405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040501 - Follow up ref SDS 18 0000. ref SDS 15 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040506 -  ..
0406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0408 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040901 - Bob Cut Loose by Mission View Refusal Treat Surgery Complications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040902 - Mission View Refuse Treat Surgery Complications Release Bob Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040903 - Bob Release Saturday Mission View Refuse Treat Surgery Complications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040904 - 
040905 - Follow up ref SDS 18 M05H, ref SDS 15 PY4M.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040907 - Background, briefed Robin in letter on 111117 0017. ref SDS 16 SO7Q,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
040908 - and again last night on 111118 0818 at 2154. ref SDS 17 IT9K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040910 -  ..
040911 - Called for Bob at...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040913 -                     Mission View - Room 211                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040914 -                     1425 Woodside Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040915 -                     San Luis Obispo, CA  93401                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040916 -                     805 543 0210 ext 311                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
040918 -  ..
040919 - Bob said He is ready to go.  Bob has called Allen and arranged for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040920 - ride home at 1100.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040922 -  ..
040923 - He is anxious to take shower at home, because the water pressure at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040924 - Mission View is so bad taking a shower is awful.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040926 -            [...below on 111119 0933 at 1738 Allen reported Bob is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040927 -            home, and taking a shower. ref SDS 0 SN85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040929 -  ..
040930 - Bob is waiting to meet with someone to remove the pic catheter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040931 - another IV catheter.  He has 2 that need to be removed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040933 -  ..
040934 - Bob feels this signals that Mission View has determined his infection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040935 - and other medical problems are all resolved.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
040937 -  ..
040938 - Discussed possibility that infection has been suppressed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040939 - antibiotics enough to lower his temperature.  Francis, Bob's nurse at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040940 - Station #2 advised that Doctor D'Ambruoso issued standing orders for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040941 - CBC labs every Monday to evaluate Bob's condtion, following disclosure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040942 - of low blood counts on 111111 0802. ref SDS 11 MC6U  Since then, Bob                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
040943 - has had only 1 lab on Monday, and it showed continuing low labs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040944 - reported on 111114 0715. ref SDS 13 B86K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040946 -  ..
040947 - Discussed possibility that Mission View does not want responsibility                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040948 - to treat Bob for complications of knee surgery, and so is releasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040949 - him to fend for himself at home, before the next lab scheduled for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040950 - Monday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040952 -  ..
040953 - Related discussions with Bob's team at Mission View saying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
040954 - rehabilitation typically takes 4 weeks for knee replacement surgery,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040955 - and that Bob's infection delayed his rehabilitation, shown in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040956 - study on 111116 0959. ref SDS 15 JT58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040958 -  ..
040959 - Bob asked why is Mission View discharging him?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040961 -  ..
040962 - Related discussion with Ken, manager of physical therapy saying Bob                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040963 - has made remarkable progress since this past Monday, when at that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040964 - time, Ken advised that Bob would need 2 - 4 more weeks of rehab to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040965 - ready to care for himself at home, reported yesterday on 111118 1005.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040966 - ref SDS 18 014W                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040968 -  ..
040969 - Bob feels he has made good progress.  He is very proud of efforts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040970 - this week.  He feels pretty confident about living at home and not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040971 - falling.  Bob then said he knows though he has a long way to go                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040972 - gaining mobility and strength.  He feels there is a risk for anyone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040973 - to fall.  He will try to be more careful.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
040975 -  ..
040976 - Explained that everything may work out okay.  His infection may be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040977 - resolved, along with blood clots, and low blood counts.  We'll hope                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040978 - for the best.  However, standard of care strives to improve chances of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040979 - better outcomes, rather than relying on hope alone.  That's why the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040980 - doctor ordered continuing blood tests on Mondays in order to better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040981 - assess Bob's recovery from complications following knee surgery.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040983 -  ..
040984 - Asked Bob to get a copy of the analyst's report for the ultrasound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040985 - test Bob had on 111114 0715. ref SDS 13 DM4C  Tell them he will not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
040986 - leave until he has the report.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040988 -            [...below on 111119 0933 at 1738 Bob forgot to ask Mission                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
040989 -            View for the report on his ultrasound test. ref SDS 0 IT9I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040991 -  ..
040992 - Bob said that if he dies, sue Mission View.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040995 -  ..
0410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0412 - 1316                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041301 - Drove to Nipomo for surprize welcome home, and 84th birthday party for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041302 - Bob, planned in Robin's letter on 111118 0818, ref SDS 17 EW5H, citing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
041303 - prior letter on 111117 0017. ref SDS 16 LF9T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041305 -  ..
041306 - Need report on ultrasound test, which Bob is getting from Mission View                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041307 - when discharged today, per above. ref SDS 0 D86M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
041309 -  ..
041310 - Stopped at Shell station on Treat and Oak Grove for gasoline.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041312 -            Oak Grove Shell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
041313 -            800 Oak Grove Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041314 -            Concord, CA  94518                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041316 -             ..
041317 -            Date.................................. 111119 1327                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041318 -            Quantity.............................. 13.2 gallons                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
041319 -            Total cost............................ $49.81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
041321 -             ..
041322 -            Miles................................. 341 Miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
041323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041325 -  ..
041326 - Post expense ledger...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041716 -  ..
0418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0420 - 1705                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
042101 - Arrived in Nipomo.  Stopped at Von's Gas Station on Tefft to fill up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042102 - for the drive home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042104 -            Von's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
042106 -             ..
042107 -            Gallons............................... 9.699                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
042108 -            Cost per gallon....................... $3.709                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
042109 -            Discount.............................. $0.03                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
042110 -            Paid.................................. $36.26                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
042112 -  ..
042113 - Called Allen on the cell phone while getting gasoline.  He said                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042114 - everything went well bringing Bob home.  Sandy has not been a problem                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042115 - jumping up on Bob.  Allen said Bob is taking a shower.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042117 -  ..
042118 - Mentioned that Bob said the first thing he wants to do at home is take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042119 - a shower, because the water pressure is poor at Mission View, so it is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042120 - no fun taking showers there, reported earlier today, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042121 - ref SDS 0 ON8M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
042122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042125 -  ..
0422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0424 - 1718                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
042501 - Went to Von's grocery store and bought a birthday cake for Bob.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042503 - While in the store, Robin called and asked to have Sandy, Bob's dog,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042504 - restrained in the house, so he won't jump on Robin when she arrives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042505 - with dishes to bring in the house.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042507 -  ..
042508 - Found the section that sells cakes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042510 -  ..
042511 - An attendant helped select a cake with cherry filling and custard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042514 -  ..
0426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0428 - 1738                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
042901 - Arrived at Bob's home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042903 - Allen was surprised.  Bob was starting to walk down the hallway from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042904 - his room, after taking a shower, per above. ref SDS 0 SN85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
042906 -  ..
042907 - Allen said:  "Hey Bob, look who's here.  Rod just arrived."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
042909 -  ..
042910 - While Bob was struggling down the hallway with his walker, Allen asked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042911 - why I came down?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
042913 -  ..
042914 - Explained heard someone was having a welcome home and birthday party                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042915 - for Bob.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
042917 -  ..
042918 - Just then Bob came into the living room.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
042920 -  ..
042921 - Said happy birthday, and welcome home!                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042923 -  ..
042924 - Bob smiled and seemed pleased.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
042926 -  ..
042927 - Bob used the walker to continue down the hallway and into the living                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042928 - room.  He sat in his large leather easy chair at the East end of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042929 - living room, nearest to the dining room.  He later got up from the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042930 - chair, and using the walker went into the kitchen to visit with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042931 - others; then, he came back to the living room and again sat in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042932 - chair.  Bob performed these manuevers well, without undo effort nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042933 - miscues.  He seems confident and sure footed using the walker.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
042935 -  ..
042936 - The front legs of the walker have wheels, which roll, however, the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042937 - back legs do not have wheels.  Bob pushes the walker, rather than pick                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042938 - it up and step forward.  This causes the back legs to catch on the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042939 - carpet and push against him, makng forward movement halting, rather                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042940 - than a fluid walking motion.  The back wheels caught on several of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042941 - throw rugs in the living room and hallway.  Allen and I picked up all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042942 - of these rugs and stored them in the garage.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
042944 -  ..
042945 - Bob handled the effort to sit quite well.  He did not fall into the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042946 - chair, indicating improving strength to sit and get up from the chair,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042947 - essential for living at home after knee replacement surgery.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042948 - suggests he should be okay getting in and out of bed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042950 -  ..
042951 - Bob's ability to maneuver with the walker, sit and get up from a chair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042952 - without assistance aligns in part with the Mission View report that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042953 - Bob's rehabilitation improved remarkably in the past few days, shown                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042954 - in the record on 111118 1005. ref SDS 18 FE8N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042956 -  ..
042957 - Bob using the walker seems important for rehabilitating his knee after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042958 - surgery.  He can walk fully vertical with a near-normal gait, rather                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042959 - than hunched over as he was forced to do for months prior to knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
042960 - replacement surgery using a cain, reported on 111030 0916, ref SDS 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
042961 - SS7L, and earlier in September on 110917 1420. ref SDS 2 N53I  Walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
042962 - vertical avoids stress to his back, and prevents torque on his newly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042963 - implanted knee joint.  Doctor Fow explained importance of avoiding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042964 - stresses to the knee joint while healing, reported on 111031 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042965 - ref SDS 5 E86S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042967 -  ..
042968 - Bob's lower left leg has only slight inflammation and swelling, much                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042969 - improved from the condition observed at Mission View on 111111 0802.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042970 - ref SDS 11 TE31                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042972 -  ..
042973 - Asked Bob for the report on the ultrasound test he had on 111114 0715,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042974 - ref SDS 13 DM4C, intended to assess possibility of blood clots causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
042975 - inflammation on lower left leg.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042977 -  ..
042978 - Bob recalled we discussed this morning that he would ask for the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
042979 - report with discharge documents, per above. ref SDS 0 D86M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
042981 -  ..
042982 - Bob said that by the time discharge events occurred, there was so much                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042983 - going on that he forgot to ask for the report.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
042985 -  ..
042986 - Since the lower left leg looks much improved today, this may indicate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042987 - response to treatment since 111114 for blood clots, which Bob reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042988 - was found by the ultrasound test, shown on 111114 0715. ref SDS 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
042989 - 1Z4X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042992 -  ..
0430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0432 - 1753                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
043301 - Shari and Patrick arrive for Bob's wellcome home and birthday party,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
043302 - per planning in the call yesterday on 111118 1005. ref SDS 18 UM7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
043303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
043304 -            [On 130529 1016 Shari took Bob to meeting with medical team                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
043305 -            for follow up on eye surgery. ref SDS 23 U36I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
043307 -  ..
043308 - Bob seems very pleased to see more people welcoming him home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
043310 -  ..
043311 - Shari and Bob were friends, when she lived in the home across the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
043312 - backyard fence, reported previously on 111104 0952. ref SDS 8 9Z3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
043314 -  ..
043315 - Shari explained that Terresa is house sitting for a customer's bird                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
043316 - this weekend, and so could not stop by to welcome Bob home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
043317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
043319 -  ..
0434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0436 - 1808                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
043701 - Robin arrived.  The front door was unlocked, but she needed help with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
043702 - dishes and packages brought to fix spagetti dinner.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
043704 -  ..
043705 - Trying to restrain the dog, Sandy, from jumping on Robin causing a big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
043706 - mess, Sandy pulled out of his chain collar.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
043708 -  ..
043709 - Introduce Robin to Shari and Patrick sitting in the living room with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
043710 - Bob and Allen.  They sit down again on the couch, and Robin goes into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
043711 - the kitchen to began preparing dinner.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
043713 -  ..
043714 - Bob asks for the collar.  He calls Sandy and easily places the chain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
043715 - back into position around Sandy's neck, demonstrating some control of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
043716 - the dog without risk while sitting.  The problem is controlling the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
043717 - dog at all times when Bob is moving with the walker, or trying to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
043718 - walk without the walker.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
043720 -  ..
043721 - Shari commented that Sandy is bigger than Bob's pervious German                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
043722 - Shepard, Thelma.  Shari recalled a few years ago providing a rock                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
043723 - headstone when the dog died suddenly from cancer, and Bob burried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
043724 - Thelma in the backyard.  She said that was a very sad time, but today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
043725 - it's wonderful seeing Bob out of the hospital and united with Sandy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
043726 - Shari commented that Sandy is much bigger than Thelma.  Bob said                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
043727 - Sandy is also much stronger.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
043729 -  ..
043730 - Sandy twisting and jumping with enough energy to slip out of a chain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
043731 - choke collar indicates high risk of knocking Bob down when future                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
043732 - events excite the dog's emotions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
043733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
043735 -  ..
0438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0440 - 1812                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
044101 - Bob got a phone call from the physical therapyst.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
044102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
044103 - Meeting was scheduled for Bob to get the first physical therapy at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
044104 - home tomorrow on Sunday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
044106 -  ..
044107 - Bob seemed pleased that this is moving forward, so he can continue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
044108 - making progress on rehabilitation that enables normal mobility, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
044109 - return to his daily routine working at home and exercising at the gym.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
044111 -  ..
044112 - While Bob was talking on the phone, Robin asked about something to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
044113 - drink?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
044115 -  ..
044116 - Allen was already drinking a beer, and Bob already had coffee.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
044118 -  ..
044119 - Shari asked for a coke, and anything diet for Patrick, because he is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
044120 - diabetic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
044122 -  ..
044123 - Robin found in the refrigerator a cold regular coke for Shari, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
044124 - magically a diet coke for Patrick.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
044125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
044126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
044128 -  ..
0442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0444 - 1816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
044501 - After Bob's call arranging to start physical therapy tomorrow, Shari                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
044502 - advised that Terresa asked her to find out arrangements Bob wants to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
044503 - make for providing home care?  She said that Terresa has not actually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
044504 - heard from Bob on this, and so is just wondering what Bob wants her                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
044505 - to do, and when to start?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
044507 -  ..
044508 - This was shocking news.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
044510 -  ..
044511 - Several days ago, Bob advised that he planned to hire Terresa for home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
044512 - care required to supplement physical therapy, reported on 111116 0959.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
044513 - ref SDS 15 G677  This was conveyed to Shari in the call yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
044514 - reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
044516 -  ..
044517 - Shari asks Bob what he wants Terresa to do?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
044519 -  ..
044520 - Bob was uncomfortable discussing this.  He asked if Terresa can cook?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
044521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
044522 -            [...below on 111119 0933 at 0130 Bob may have been angry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
044523 -            feeling pressured about discussing home care arrangements.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
044524 -            ref SDS 0 PVRX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
044526 -  ..
044527 - Shari was equally uncomfortable with this question.  She said                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
044528 - something like Terreas can fry an egg, make a sandwich, things like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
044529 - that.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
044531 -  ..
044532 - I said my specialty is using the microwave, to be funny, and lighten                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
044533 - the discussion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
044535 -  ..
044536 - Shari then laughed and said Terresa is an expert with the microwave.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
044538 -  ..
044539 - Think Bob said something like Terresa can drive him places and do                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
044540 - errands at the store, clean house, things like that.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
044542 -  ..
044543 - Shari said Terreas will be back in town tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
044545 -  ..
044546 - Bob mumbled something like he doesn't need Terresa until Allen goes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
044547 - home toward the end of the week, possibly next Friday.  This was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
044548 - unclear, understandably, because Bob is unsure about this entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
044549 - matter.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
044551 -  ..
044552 - Bob then asked if anybody has seen his medication?  He explained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
044553 - having put it somewhere, but not sure where.  He got up from his chair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
044554 - and used the walker to shuffle into the kitchen to look for medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
044555 - in a plastic sack.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
044557 -  ..
044558 - The breakfast counter is now stacked with documents, mail, half-eaten                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
044559 - food, clothing and dishes all jumbled together from Bob's arrival                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
044560 - earlier today.  He lookes some of the articles on the breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
044561 - counter, then the counter next to the stove, and the drawer next to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
044562 - the stove.  He checks a kitchen drawer where medications are stored.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
044564 -  ..
044565 - Bob is understandably flustered and angry about not finding his                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
044566 - medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
044568 -  ..
044569 - Finally found his medication which all along was laying on the table                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
044570 - about 2 inches next to the chair where he was sitting in the living                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
044571 - room, when he first asked where he had put his medication, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
044572 - ref SDS 0 RL6G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
044574 -  ..
044575 - This episode demonstrates emotional trauma patients suffer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
044576 - transitioning from normal living to dependence on in-home care.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
044578 -  ..
044579 - Bob takes the medication from the table into the kitchen to take a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
044580 - pill with water, and visit with Robin and Allen about dinner.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
044581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
044582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
044584 -  ..
0446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0448 - 1826                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
044901 - While Bob is in the kitchen, Shari apologizes for how the home care                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
044902 - matter was discussed, per above. ref SDS 0 J39W  She asked how much                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
044903 - Bob expects to pay and how much time he will need?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
044905 -  ..
044906 - Shari further explains that Terresa was in an automobile accident                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
044907 - about 10 years ago.  She suffered neural injuries, which resulted in a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
044908 - financial settlement that pays her monthly for disability.  She is not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
044909 - looking for a full-time job, nor pay; but rather to supplement her                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
044910 - disability income.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
044912 -  ..
044913 - Explain Bob is not yet sure the level of support he wants, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
044914 - this is a new experience.  It will depend on how things go when they                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
044915 - begin working together as care-giver and patient.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
044917 -  ..
044918 - Terresa can call Bob when she returns to town tomorrow and offer to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
044919 - come by and discuss getting started.  Once she starts doing things,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
044920 - Bob will likely expand what he wants done, based on performance, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
044921 - discovering emerging needs.  After a few days or a week.  The scope of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
044922 - work and level of effort and time will become more clear, e.g., will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
044923 - Terreas be needed first thing in the morning, and later in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
044924 - evening?  Some days longer than others, based on what is going on?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
044926 -  ..
044927 - Terreas can decide how much money she wants for the evident work to be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
044928 - done.  Bob can then decide on going forward, including scaling back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
044929 - scope or expanding services.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
044931 -  ..
044932 - One of the first things Terreas should do is take Bob to the meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
044933 - with his primary care doctor on Tuesday, 111122, so someone with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
044934 - medical experience is representing him, and creates a good record of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
044935 - what transpires can be created to provide case management.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
044936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
044938 -  ..
0450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0452 - 1833                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
045301 - Bob returns to the living room.  Conversation changes to what is being                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
045302 - shown on Bob's big new television there in the living room.  Bob asks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
045303 - for assistance to find a channel with soft background music.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
045305 -  ..
045306 - Shari walks over and Bob hands her the television remote control.  She                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
045307 - navigates directly to music from the 40s, and early 50s, popular when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
045308 - Bob came of age.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
045310 -  ..
045311 - This illustrates the kind of close order support critical for home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
045312 - care the first 3 - 6 months; and, which is difficult to define in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
045313 - scope of work, until people gain experience on the job.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
045315 -  ..
045316 - Patrick was generous sharing with all of us personal family background                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
045317 - of his great, great, great grandfather getting an early land grant of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
045318 - some 38,000 acres in Nipomo.  This occurred during Spain's control of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
045319 - California.  Patrick's early lineage was a successful sea captain who                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
045320 - sailed trade routes to China and other major ports.  Sounded he was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
045321 - rewarded in part with the Nipomo land grant.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
045323 -  ..
045324 - Shari now lives with Patrick on remainder of holdings that have been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
045325 - significantly pared through generations of divided property among the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
045326 - family, and from sales to others.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
045327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045329 -  ..
0454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0456 - 1850                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
045701 - All this time, Robin is preparing dinner of spagetti and salad,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045702 - with garlic bread.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
045704 -  ..
045705 - Cleared breakfast counter, per above, ref SDS 0 RL65, to make room for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
045706 - serving pot-luck dinner.  Bob said to take the cloths into the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
045707 - laundry.  Assembled all the doucments and arranged them on the counter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
045708 - left of the stove, as Bob requested 3 weeks ago on 111103 0709.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045709 - ref SDS 7 HS6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
045711 -  ..
045712 - Everyone came into the kitchen to fix their plate, and take back into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
045713 - the livng room.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045715 -  ..
045716 - Brought a big plate of spagetti for Bob.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
045718 -  ..
045719 - Bob's healthy appetite further illustrates he is on the road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045720 - recovery back to normal, reported last Saturday on 111112 0838.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
045721 - ref SDS 12 PRSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
045723 -  ..
045724 - We all chatted and listend to music eating dinner in the living room.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
045726 -  ..
045727 - When Bob finished his spagetti, he asked for seconds and some salad.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
045729 -  ..
045730 - Allen brought this from the kitchen for Bob, since he cannot carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
045731 - dishes and utinsels, and also use the walker.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
045733 -  ..
045734 - Great meal prepared by Robin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
045736 -  ..
045737 - Bob is very fortunate to have friends like Shari and Terreas to help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
045738 - transition from full support at Mission View Care Center to home care                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
045739 - while he recovers from knee surgery.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
045741 -  ..
045742 - Robin then cut the birthday cake and took plates to everyone in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
045743 - livig room.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
045745 -  ..
0458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0460 - 1951                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
046101 - Finally, time to begin clean up.  While Bob and Allen continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
046102 - talking with Patrick and Shari, helped Robin do the dishes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
046104 -  ..
046105 - Seemed like there was a lot of laughter and excitement coming from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
046106 - the living room, indicating Bob was enjoying his first day home 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
046107 - weeks after knee surgery.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
046108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
046110 -  ..
0462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0464 - 2033                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
046501 - Shari and Patrick say good-bye.  Bob was gracious and grateful for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
046502 - their visit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
046504 -  ..
046505 - Robin asked for Shari's contact information.  Sounded like Robin wants                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
046506 - to get together for something, not sure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
046507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
046508 -            [On 130529 1016 Shari took Bob to meeting with medical team                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
046509 -            for follow up on eye surgery. ref SDS 23 U36I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
046510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
046512 -  ..
0466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0468 - 2354                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
046901 - Complete clean up.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
046902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
046903 - Bob and Allen talked about staying over.  Begged off with lots to do                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
046904 - back at the house, including writing this record.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
046906 -  ..
046907 - Bob was disappointed about work backing up that needs timely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
046908 - attention.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
046909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
046910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
046912 -  ..
0470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0472 - 0019                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
047301 - Arrived home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
047302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
047303 - Begin trying to understand what happened today at Bob's, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
047304 - ref SDS 0 PQUY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
047305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
047307 -  ..
0474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0476 - 0126                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
047701 - Robin called.  She was worried about me getting home safely after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
047702 - driving down this afternoon, and then returning 300 miles late at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
047703 - night.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
047705 -  ..
047706 - Thanked Robin for staying up so late to call making sure I arrived                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
047707 - home safely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
047709 -  ..
047710 - Explained the drive went well, because traffic is very light after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
047711 - midnight even on highway 101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
047713 -  ..
047714 - Robin said she had a good time today doing everything for Bob's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
047715 - birthday.  Was nice working together in the kitchen to serve dinner,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
047716 - and cleaning up afterwards.  She misses all the activity when everyone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
047717 - got together for family dinners with Kath, mother, Millie - the whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
047718 - gang.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
047720 -  ..
047721 - Robin appologized for not coming out to say goodbye when I left.  She                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
047722 - said Bob engaged her in discussion, and he was angry, so it did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
047723 - seem appropriate to pause for a moment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
047725 -  ..
047726 - Robinn indicated Bob was upset with Shari for bringing up arrangements                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
047727 - with Terresa for home care.  She related that Bob did not want to be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
047728 - pressured to make decisions, and so he felt that Shari was rude and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
047729 - out of place doing so, per above. ref SDS 0 J39W                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
047731 -             ..
047732 -            [On 111223 0058 letter to Robin cites drive getting home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
047733 -            very late, ref SDS 21 665Q, and suggesting she call again,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
047734 -            as on 111119 0933. ref SDS 0 PVRX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
047736 -             ..
047737 -            [On 120306 0119 Robin says she will "never" call in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
047738 -            middle of the night, ref SDS 22 455L, letter to Robin cites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
047739 -            call today in "middle of night" and says to "keep up the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
047740 -            good work." ref SDS 22 7H7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
047742 -  ..
047743 - Explained not observing this discussion between Shari and Bob,  It may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
047744 - have occurred while I was in the kitchen, or perhaps it was conveyed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
047745 - to Robin after I left, i.e., that Bob was upset, but did not actually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
047746 - say so to Shari.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
047748 -  ..
047749 - Indicated this is a work in progress.  Transitions are often difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
047750 - and traumatic, per above, ref SDS 0 6R9G, and can only be accomplished                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
047751 - by doing the best possible, and hoping for the best outcome.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
047753 -  ..
047754 - Seems Bob now has a good chance to move forward with confidence that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
047755 - he can regain full mobility to enjoy remaining years.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
047757 -  ..
047758 - Thanked Robin as well for being thoughtful and kind to contribute so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
047759 - much on Bob's birthday.  His age and infirmities magnify the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
047760 - importance of getting assistance.  Was great fun the past few months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
047761 - visiting with Robin to help Bob through his surgery and recovery.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
047762 - Robin asked when I might be returning?  Explained not sure at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
047763 - moment, but will try to come down more often next year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
047765 -  ..
047766 - Thanked Robin again for calling so late - said to call anytime.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
047767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
047768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
047769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
047770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
047771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
047772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
047773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
047774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
047775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
047776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
0478 -