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: May 28, 2012 09:13 AM Monday; Rod Welch

Robin called about knee and other issues.

1...Summary/Objective


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CONTACTS 

SUBJECTS
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0403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0403 -    ..
0404 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
0405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040501 - Follow up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
040502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040506 -  ..
0406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0408 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040921 -  ..
040922 - Robin's knee has worsened.  Pain has increased from complications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040923 - following knee surgery 3 months ago on 120322. ref SDS 9 699F  She has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
040924 - scheduled a meeting next Thursday with the doctor who performed the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040925 - surgery.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
040926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040927 -            [On 120727 0912 Robin reports both knees are not painful.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
040928 -            ref SDS 18 YC9V                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040930 -  ..
040931 - On 120516 ordered Glucosamine Chondroitin from Costco for delivery to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040932 - help relieve knee and other joint pain, e.g., kneck, back. ref SDS 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040933 - E99F  This implemented planning in the letter to Robin on 120222 1832.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040934 - ref SDS 8 LT4S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040936 -            [On 120601 2232 Robin reports taking Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040937 -            Chondroitin ordered for her from Costco. ref SDS 12 M65K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
040939 -             ..
040940 -            [On 120619 2226 Robin reports worsening complications from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
040941 -            knee surgery on 120322, care by surgeon has not resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040942 -            continuing pain; chiropractor recommends physical therapy;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040943 -            Robin has obtained referrals from surgeon for getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040944 -            physical therapy which will be paid by health insurance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040945 -            carrier. ref SDS 13 6B9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
040947 -             ..
040948 -            [On 120623 0238 letter to Robin recommends she get the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040949 -            medical chart and order 2nd opinions on recovering from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040950 -            complications caused by knee surgery on 120322, ref SDS 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040951 -            Q45H; and further recommends testing to diagnose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040952 -            complications causing continuing severe pain months after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040953 -            surgery. ref SDS 14 Q23N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
040955 -             ..
040956 -            [On 120718 1842 Robin reports knee pain worsened; MRI                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040957 -            radiology scan on 120717, implemented plans in the letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040958 -            to Robin on 120623, ref SDS 14 Q23N, and shows 2 new tears                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040959 -            which explain continuing pain from complications after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040960 -            surgery on 120322, ref SDS 9 699F; Robin planning 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040961 -            opinions, and meeting with original surgeon on 120730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040962 -            ref SDS 15 N48J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040964 -             ..
040965 -            [On 120723 2305 Robin letter reports meeting with Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040966 -            Lawler on 120719, who performed knee surgery on 120322,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040967 -            ref SDS 9 699F; Doctor Lawler advised Robin may need knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
040968 -            replacement in the distant future, ref SDS 16 978S; Robin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
040969 -            indicated feeling relieved. ref SDS 16 U745                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
040971 -             ..
040972 -            [On 120724 0106 letter to Robin explains procedure to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040973 -            submit written order for medical records and to hand carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040974 -            to Doctor Fow for preparing to meet on 120830 to issue 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040975 -            opinion on recovering from complications caused by knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040976 -            surgery on 120322. ref SDS 17 FW8X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040978 -  ..
040979 - Robin asked about my experience recovering from knee procedures?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040981 -  ..
040982 - Explained surgery on left knee originally in 1973, to repair injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040983 - falling into a pump station.  Was lucky to survive (million to 1), and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040984 - was further lucky to injure only a knee.  SDS was not available then,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040985 - but from memory...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040987 -        1.  Surgery was done under protocol that is now out of date.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040988 -            Leg was cut open and damaged cartelege at the knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040989 -            was removed.  Had a cast for 6 weeks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040991 -               [On 120529 1136 letter to Robin transmits link to this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
040992 -               record with case study on recovering from knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
040993 -               surgeries. ref SDS 11 Q45H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040995 -             ..
040996 -        2.  After cast was removed had difficulty bending knee to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040997 -            regain range of motion and exercise to restore atrophied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040998 -            leg muscle.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041000 -             ..
041001 -        3.  Doctor did another procedure under general sedation to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041002 -            manually bend the knee that stretched and broke adhesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041003 -            from the post-surgery healing process.  After that was able                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041004 -            to bend the knee and gradually regained normal use without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041005 -            pain and swelling.  Eventually was running, playing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
041006 -            football, etc.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
041008 -  ..
041009 - In October, 1988, while on assignment in Montana, knee hurt badly just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041010 - walking around the project.  Flew home to San Francisco and arranged                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041011 - for another surgery...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041013 -        1.  On 881010 meeting Doctor Jim Glick; planned arthroscopic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041014 -            surgery to repair compressed knee joint left leg.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
041015 -            ref SDS 1 4M6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041017 -             ..
041018 -        2.  On 881011 surgery performed next day. ref SDS 2 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041020 -             ..
041021 -        3.  On 881014 post-surgery review 3-days later with Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041022 -            Glick; able to walk with pain. ref SDS 3 0001  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041023 -            reported finding during surgery that the knee was more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041024 -            severely damaged than originally expected. ref SDS 3 007R                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
041026 -             ..
041027 -        4.  On 881105 about 3 weeks later begain light running only .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041028 -            miles; hurt some going out, but much better coming back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041029 -            ref SDS 4 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041031 -             ..
041032 -        5.  On 881108 ran without pain for about 1 mile, called Jim.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041033 -            ref SDS 5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041035 -             ..
041036 -        6.  On 881128 met with Jim for follow up exam, reported playing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041037 -            tennis and running better; doctor recommended focused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
041038 -            exercise to build muscle around the knee, so ordered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041039 -            equipment to do the exercise. ref SDS 6 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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0421 -