CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 18 0000. ref SDS 17 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 17 M05H.
040906 -
040907 - Background, briefed Robin in letter on 111117 0017. ref SDS 15 SO7Q,
040908 - and again last night on 111118 0818 at 2154. ref SDS 16 IT9K
040910 - ..
040911 - On 111119 0933 Bob was released from Mission View. ref SDS 18 ON8M
040913 - ..
040914 - Drove to Nipomo for birthday (84) party to welcome Bob home from the
040915 - hospital. 111119 0933 at 1738. ref SDS 18 PQUY
040916 -
040917 -
040919 - ..
040920 - Bob Struggling with Home Care and Rehab Challenges
040921 -
040922 - Returned Bob's call this morning, reported on the telephone message
040923 - system.
040925 - ..
040926 - Bob said he had a great day today. He drove his car to Santa Maria
040927 - for a hamburger at the In-and-Out fast food restaraunt. He used the
040928 - cain, rather than the walker to go into the restaraunt.
040930 - ..
040931 - Asked Bob why Terreas didn't drive him to Santa Maria?
040933 - ..
040934 - He said it isn't necessary now. He is doing really well.
040936 - ..
040937 - Asked why he didn't use the walker?
040939 - ..
040940 - Bob explained that the walker only has 2 wheels, so the back legs get
040941 - stuck when he pushes forward on pavement, like in a parking lot, going
040942 - through a door across a threshold, that kind of thing. He said that
040943 - his cain is faster and easier to handle.
040945 - ..
040946 - We briefly discussed again advantages getting a rollater walker that
040947 - has 4 wheels, reviewed previously on 111118 1005 at 1448. ref SDS 17
040948 - EZ8M It works like a push cart going shopping, and has a seat to rest
040949 - when necessary. The wheels are bigger than on his current walker, so
040950 - they easily handle small obstructions.
040952 - ..
040953 - Bob still feels he doesn't need it; said he is recovering faster than
040954 - expected. He said don't worry - everything will okay, as related
040955 - previously on 111118 1005 at 1554. ref SDS 17 VA4R
040957 - ..
040958 - Bob said he got tired standing in line at In-and-Out Burger waiting to
040959 - place his order, so he drove to another place for a hamburger, sounded
040960 - like he said "Margie's" or something like that.
040962 - ..
040963 - Bob said he was very tired after getting home so he went to bed for
040964 - rest.
040965 -
040966 - [On 111127 1810 Bob had similar experience going shopping
040967 - at the grocery store; after buying only 6 items, he got
040968 - very tired and had to return home and rest in bed.
040969 - ref SDS 20 NG5U
040971 - ..
040972 - Bob explained the physical therapist came by late this afternoon. He
040973 - was concerned that Bob is not yet ready for using a cain, and
040974 - indicated that at this stage in Bob's rehabilitation using a can
040975 - causes unequal pressure that torques his knee. This prevents healing
040976 - correctly, and could damage the knee replacement mechanism.
040977 -
040978 - [On 111127 1810 Bob reports abandoning walker and relying
040979 - only on his cain for support walking; physical therapist
040980 - evidently advised again that using the walker provides
040981 - essential support at this stage of rehabilitation for
040982 - recovering from knee replacement surgery; Bob likes ease
040983 - and convenience of using the cain. ref SDS 20 FM9I
040985 - ..
040986 - Bob said he feels funny out in public with the walker, and the walker
040987 - is less efficient than the cain. He feels the cain is okay as long as
040988 - he doesn't use it too much.
040990 - ..
040991 - Asked Bob if Terreas is a good cook?
040993 - ..
040994 - Bob said that Terreas cooked a frozen food dish from the freezer. He
040995 - thought it wasn't cooked long enough.
040997 - ..
040998 - Bob said he doesn't need help at home now. He is doing okay by
040999 - himself. He feels ready now to perform all of the tasks for home
041000 - care, including maintenance, laundry, cooking, cleaing up.
041001 -
041002 - [On 111127 1810 Bob said he asked Shari to clean the house,
041003 - because he is too tired for doing routine tasks at home.
041004 - ref SDS 20 PN8M
041006 - ..
041007 - Asked how Terreas was doing helping him with physical therapy at home?
041009 - ..
041010 - Bob said that Terreas ovecharged him for what she did. He paid less
041011 - than she requested. Bob is not sure Terreas is coming back.
041013 - ..
041014 - Asked if he can go to the gym to exercise his leg on the gym
041015 - equipment?
041017 - ..
041018 - Bob said he's not ready for that much exercise yet.
041020 - ..
041021 - Asked if Bob is doing exercises at home that the doctor and physical
041022 - therapist prescribed for his leg to recover?
041024 - ..
041025 - Bob said he feels it is unnecessary, because he is doing more walking
041026 - than most patients at this stage recovering from knee replacement
041027 - surgery. Bob said the physical therapist today told him it is okay
041028 - not to exercises at home for rehabilitation, because Bob is doing
041029 - better than most patients.
041031 - ..
041032 - Congratulated Bob on being ahead of schedule rehabilitating his
041033 - surgically replaced knee.
041035 - ..
041036 - Told Bob will keep in touch.
041037 -
041039 - ..
0411 -
0412 -
0413 - 1902
0414 -
041401 - Called Shari
041402 -
041403 - 805 929 8299
041405 - ..
041406 - Shari said that Terreas briefly visited today, but would not explain
041407 - the problems she had with Bob. Terreas did tell Shari that Bob would
041408 - not pay for the full time she worked.
041410 - ..
041411 - This aligns with Bob's understanding about differences on what was
041412 - owed, per above. ref SDS 0 4X3G
041414 - ..
041415 - Terreas was also claimed that Bob was drinking alcohol while taking
041416 - vicadin, and refused medical advice to avoid this practice.
041418 - ..
041419 - Possibly indicates Bob was not receptive to behavioral advice. Back
041420 - in September, he mentioned something about not wanting home help that
041421 - tells him what to do.
041423 - ..
041424 - Shari said that Terreas would not sit down and discuss her experience
041425 - working for Bob. She has left town for LA. Shari does not know at
041426 - this point, when Terreas will return, or if she will even call.
041428 - ..
041429 - Appologized about how this has turned out, and thanked Shari for
041430 - trying to arrange with Terreeas to provide help Bob needs to recover
041431 - from knee surgery.
041433 - ..
041434 - Part of the problem is that Bob does not want assistance at home doing
041435 - exercises prescribed for recovery, per above. ref SDS 0 FN3U
041437 - ..
041438 - Also explained Bob is driving his car, placing him in situations that
041439 - over-fatigues his body, which increases chances of accidents, like
041440 - driving or falling, per above. ref SDS 0 FM9V He had a minor car
041441 - accident before his surgery. Driving at this time, seems even higher
041442 - risk causing another accident that will injure him and others.
041444 - ..
041445 - Suggested that Shari call Bob and invite him for Thanksgiving, as a
041446 - way to open conversation. He will likely decline, but might help Bob
041447 - become more forthcoming about needing Terreas or someone for home
041448 - care.
041450 - ..
041451 - Shari will think about this.
041453 - ..
041454 - Hopefully, Bob will come to realize he needs help before suffering an
041455 - accident, which is why Mission View originally planned to keep him for
041456 - another 2 weeks or more. In the controlled environment of Mission
041457 - View, the patient has constant support to avoid high risk behavior,
041458 - and ensure physical therapy is performed that enables full recovery.
041459 - If he does suffer problems, staff is available for immediate
041460 - assistance and damage is contained.
041462 - ..
041463 - At this stage, nobody knows what transpired between Bob and his
041464 - primary care doctor yesterday. Who is managing Bob's case? Where is
041465 - the record of anybody doing anything?
041467 - ..
041468 - Most likely, Bob will go to the meeting alone with the surgeon, Doctor
041469 - Fow, scheduled on Nov 30th. Hope he uses the walker, but probably
041470 - won't, because he does not have experience to understand why he can't
041471 - do things he wants to do just yet.
041473 - ..
041474 - Asked Shari to convery my deepest appologies for Bob being such a
041475 - difficult customer and to thank her for all she has tried to do.
041476 -
041477 -
041478 -
041479 -
041480 -
041481 -
041482 -
041483 -
041484 -
0415 -