CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 21 0000. ref SDS 19 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 - Bob Struggling with Home Care and Rehab Challenges
040905 -
040906 - Follow up ref SDS 21 FM9I.
040907 -
040908 - Bob called Friday, while I was out hiking. When I returned the call
040909 - in the afternoon, Bob said he is feeling much better now, and so has
040910 - abandoned his walker, less than 4 weeks after knee surgery. Bob said
040911 - that he is now walking entirely with the cane.
040913 - ..
040914 - Congratulated Bob making progress with just 2 weeks of rehabilitation
040915 - after knee surgery, much faster than most patients, based on planning
040916 - at Mission View that Bob required more than 4 weeks of rehabilitation
040917 - and medical support at Mission View, due to post-surgery infection,
040918 - reported in case study on 111116 0959. ref SDS 15 JT4O
040920 - ..
040921 - Asked Bob if the cane works as well as the walker for walking
040922 - vertically to rehabilitate his knee? Mentioned that in September and
040923 - October, he was quite hunched over using the cane, e.g., on 110917
040924 - 1420. ref SDS 2 N53I Noted that change in normal upright posture
040925 - caused by using a cane, torques his knee, which could damage
040926 - recovering from knee surgery, cited by Doctor Fow after completing
040927 - Bob's surgery on 111031 0800. ref SDS 5 E86S
040929 - ..
040930 - Bob said he gets tired holding himself vertical with the cane, but it
040931 - is more convenient than using the walker.
040933 - ..
040934 - Asked if he has discussed switching from the walker to a cane, with
040935 - the physical therapist?
040937 - ..
040938 - Bob further replied on Friday that the physical therapist told him he
040939 - should use his walker to build strength and range of motion, so his
040940 - knee surgery heals correctly. We recalled the physical therapist said
040941 - this previously when Bob drove to Santa Maria for a hamburger on
040942 - 111123 1847. ref SDS 21 IL4J Bob went on to say that he believes
040943 - there is more exercise walking with the cane, than with the walker,
040944 - since it is faster and easier to use the cane.
040946 - ..
040947 - We discussed requirements to walk vertically using both hands on the
040948 - walker to equalize support, so his leg heals correctly and strengthens
040949 - for walking normally. Using a cane causes a hunched over, awkward
040950 - motion. Doctor Fow emphasized immediately after Bob's surgery that
040951 - following rehabilitation protocols is critical to recover from knee
040952 - surgery, reported on 111031 0800. ref SDS 5 Y673 Bob remembered how
040953 - difficult it was to use the cane months ago, reported previously on
040954 - 110917 1420. ref SDS 2 N53I Bob explained that now he is less hunched
040955 - over thanks to knee surgery, so he feels everything is okay using the
040956 - cane, instead of the walker.
040958 - ..
040959 - Bob also said on Friday that he planned on driving to the store for
040960 - groceries, because he is out of everythng to eat, except for the
040961 - turkey he cooked on Thursday, and he is tired of turkey. Bob
040962 - explained that his pain medication reduces ability to taste food, so
040963 - he does not feel like eating.
040965 - ..
040966 - Aked if he has anyone to drive him to the store?
040968 - ..
040969 - Bob said he can drive himself. He was adament not needing help for
040970 - driving nor help shopping for groceries. He said he has driven
040971 - himself many places since returning home on 111119. ref SDS 19 QR7O
040973 - ..
040974 - We reviewed the record from his call last week, saying he drove
040975 - himself to Santa Maria to get a hamburger, reported on 111123 1847,
040976 - ref SDS 21 FM9I, and that he got tired waiting in line to be served,
040977 - and so had to leave, ref SDS 21 FM4P,
040979 - ..
040980 - Bob said he is getting stronger everyday, and so feels everything is
040981 - okay for him to drive.
040983 - ..
040984 - That was all yesterday.
040985 -
040986 - *********************
040988 - ..
040989 - In the call this evening, Bob sounds tired.
040991 - ..
040992 - He is watching Secretariet on television, and having turkey for
040993 - dinner.
040995 - ..
040996 - Bob said he went to the store today, rather than yesterday, discussed
040997 - in the prior call, per above. ref SDS 0 4V6V He drove himself, and
040998 - got very tired. He only bought a few things (think he said "6"), and
040999 - then had to come home and go to bed for rest, similar to his first
041000 - driving excursion last Tuesday going to Santa Maria for a hamburger,
041001 - reported on 111123 1847. ref SDS 21 FM4P
041003 - ..
041004 - Bob noted that he has never in his life had to rest in bed during the
041005 - day, like today.
041007 - ..
041008 - We considered that this level of fatigue, could present dangers to him
041009 - and others driving a car. Bob feels he got home without incident, so
041010 - everything is okay.
041012 - ..
041013 - Mentioned that low blood counts may cause fatigue, along with simply
041014 - being tired recovering from knee surgery. Doctor Fow was worried
041015 - about low blood counts in the call on 111111 0802. ref SDS 11 WT4G
041017 - ..
041018 - Bob said that Robin also mentioned that he needs more than normal rest
041019 - because recovering from surgery causes fatigue.
041021 - ..
041022 - Asked Bob this evening about pain management?
041024 - ..
041025 - Bob said he is out of medication. He is using other medication on
041026 - hand in the house. He is using more than the normal amount until he
041027 - can get more prescribed medication. Bob said he will reorder a refill
041028 - tomorrow.
041030 - ..
041031 - Asked if Bob has talked to Shari lately, who visited, along with her
041032 - friend, Rick, to welcome Bob home from the hospital last week on
041033 - 111119 0933. ref SDS 19 EH6J
041035 - ..
041036 - Bob said he talked to Shari today, and she has agreed to come over and
041037 - clean the house tomorrow, because he is too tired to take care of
041038 - things the way he thought he could last week, when he decided not to
041039 - continue having Terreas help him, reported on 111123 1847. ref SDS 21
041040 - FM62
041042 - ..
041043 - Wonderful hearing Bob has agreed to get help with the house, after
041044 - saying last Tuesday, that he had an disagreement with Terreas, and
041045 - that he really didn't need help, reported on 111123 1847. ref SDS 21
041046 - FM56
041048 - ..
041049 - We discussed Bob going to the gym and using the treadmill as a walker
041050 - at a very slow pace to exercise his leg standing vertically, as he was
041051 - doing on 111119 0933. ref SDS 19 1O7F This might be more effective,
041052 - and less stressful than using the cane, evidently noted by the
041053 - physical therapist last week on 111123 1847, ref SDS 21 IL4J, and
041054 - again yesterday, per above. ref SDS 0 4V53
041056 - ..
041057 - Bob plans to discuss this with Doctor Fow, the knee surgeon, at a
041058 - meeting on Wednesday.
041060 - ..
041061 - Asked Bob if he has had a CBC lab to assess blood counts, which were
041062 - too low in his last blood reported on 111114 0715. ref SDS 13 B868
041064 - ..
041065 - Bob seemed to say he had a blood draw last week. He doesn't know the
041066 - scope. He assumes everything is okay, because he hasn't heard from
041067 - anybody. Bob indicated he has a follow up meeting with primary care,
041068 - but is not sure when. Bob said he will ask Doctor Fow about results
041069 - of his blood test last week, when they meet next Wednesday.
041071 - ..
041072 - Bob is worried about being so tired. He's glad Shari is coming
041073 - tomorrow.
041074 -
041075 -
041076 -
041077 -
041079 - ..
0411 -
0412 -
0413 - 1957
0414 -
041401 - Called Shari.
041402 -
041403 - 805 929 8299
041405 - ..
041406 - Left message thanking Shari for arranging to help Bob tomorrow.
041408 - ..
041409 - Mentioned that Bob sounds very tired tonight, and said he went
041410 - grocery shopping, and became very tired.
041411 -
041412 -
041413 -
041415 - ..
0415 -
0416 -
0417 - 2001
0418 -
041801 - Called Robin.
041802 -
041803 - Left message on Bob getting tired going to the store, and possibility
041804 - that his blood counts are down.
041805 -
041806 -
041807 -
041808 -
041809 -
041810 -
041811 -
0419 -