CONTACTS
SUBJECTS
Knee Pain Worse Complications Surgery 120322 Evidence MRI Radiology
1003 -
1003 - ..
1004 - Summary/Objective
1005 -
100501 - Follow up ref SDS 19 0000. ref SDS 18 0000.
100502 -
100503 -
100504 -
100505 -
100507 - ..
1006 -
1007 -
1008 - Progress
1009 -
100901 - Case Management Performed without Patient Assistance
100902 - Medical Records No Evidence Ordered from Lawler for 2nd Opinions
100903 -
100904 - Follow up ref SDS 19 MI5I, ref SDS 18 CM3V.
100905 -
100906 - Submitted letter to Robin saying...
100907 -
100908 - 1. Subject: Knee Pain Resolved - Congratulations
100909 - Date: Sat, 28 Jul 2012 02:24:24 -0700
100916 - ..
100917 - 2. Wonderful news hearing in one of 3 letters received today that
100918 - your knees don't bother you and are no longer painful. [...
100919 - referencing Robin's letter received yesterday on 120727 0912.
100920 - ref SDS 19 YC9V...].
100921 -
100922 - [On 120728 0027 Robin indicated during telephone call that
100923 - pain in her right knee has finally begun to subside, and
100924 - that she has not suffered noticable pain in her left knee,
100925 - despite recent MRI finding degenerative arthritis.
100926 - ref SDS 20 EI4H
100928 - ..
100929 - 3. Residual stiffness from surgery [...cited in Robin's letter,
100930 - ref SDS 19 YC9V...], will continue to recover with increased
100931 - exercise recommended by Doctor Vernacchia, ref SDS 19 YC8V,
100932 - especially the stationery bike with low resistance, which you
100933 - seem to indicate in your work plan. ref SDS 19 YC90 In my
100934 - experience, hiking has similar therapeutic effects, and costs
100935 - less that going to a gym.
100937 - ..
100938 - 4. I concur with Doctor Ongely diagnosing degenerative arthritis,
100939 - ...[reported in Robin's correspondence received yesterday on
100940 - 120727 0912. ref SDS 19 HP9Q...], shown in your record of MRI
100941 - reports [...presented in MRI on right knee performed 1207117,
100942 - and received in the record on 120726 0753. ref SDS 18 PB3M; and
100943 - in MRI on left knee performed 120723, and received in the
100944 - record on 120726 0753. ref SDS 18 QU3J...]. The article you
100945 - submitted by Doctor Darrow at UCLA, and published on the
100946 - Internet by Jointrehab.com, explains that removing cartilage
100947 - from the knee joint causes degenerative arthritis. [...
100948 - reported in Robin's letter received on 120727 0912. ref SDS 19
100949 - MP4F...]
100951 - ..
100952 - 5. You present competing theories on cause of former knee pain.
100953 -
100954 - 1. The last letter (subject: "look at this") attributes
100955 - prolonged knee pain in part to sciatica condition from the
100956 - spine disorders causing pain to travel into the lower legs
100957 - and knees. ...[reported on 120727 0912. ref SDS 19
100958 - UV4J...].
100960 - ..
100961 - [On 120730 1420 letter to Robin sets agenda to discuss
100962 - in meeting with surgeon, Doctor Lawler, correlation of
100963 - sciatica pain from neck and spine disorders causing
100964 - pain in legs and knees. ref SDS 22 UN7P
100966 - ..
100967 - 2. You also note Doctor Lawler explaining that your knee pain
100968 - difficulty may be related to having failed to remove all
100969 - torn cartilage material. [... reported on 120727 0912,
100970 - ref SDS 19 PS36...]. This seems to align with the recent
100971 - MRI report on 120717. [...showing Robin still has 2 minor
100972 - tears in her knee joint cartilage after surgery on 120322,
100973 - shown in MRI on 120717, reported in the record on 120726
100974 - 0753. ref SDS 18 PB3M...]
100975 -
100976 - [...below on 120728 0027 Robin plans to resume
100977 - Glucosamine Chondroitin to evaluate pain relief from
100978 - degenerative arthritis. ref SDS 0 0288
100980 - ..
100981 - 6. Your research on prolotherapy seems to indicate Doctor Darrow
100982 - can provide treatment at UCLA. [...referenceing links in
100983 - Robin's letter received on 120727 0912. ref SDS 19 636F...].
100984 - This might save expense and avoid risks traveling to Ensenada
100985 - for treatment from Doctor Ongely, should you elect to proceed
100986 - with prolotherapy in the future.
100987 -
100988 - [...below on 120728 0027 at 0935 Robin called and requested
100989 - assistance arranging meeting with Doctor Darrow in Los
100990 - Angeles on providing prolotherapy to help recover from
100991 - degenerative arthritis in her knees. ref SDS 0 QQ8H
100993 - ..
100994 - [...below on 120728 0027 Robin plans to resume Glucosamine
100995 - Chondroitin to evaluate pain relief from degenerative
100996 - arthritis. ref SDS 0 0288
100998 - ..
100999 - [...below on 120728 0027 at 1102 received letter from Robin
101000 - confirming request to schedule meeting to investigate
101001 - treatment with prolotherapy for relieving chronic pain due
101002 - to degenerative arthritis. ref SDS 0 FG6N
101004 - ..
101005 - 7. Your case is complicated with compound causation that clouds
101006 - diagnosis and work plans. Case management guiding the medical
101007 - team requires records from Doctor Lawler, and assisting with
101008 - pending meetings to "connect the dots" which yield the power of
101009 - knowledge that controls the future. I appreciate lack of faith
101010 - in this work practice prevents getting experience to discover
101011 - SDS support improves results. "Oh ye of little faith!"
101018 - ..
101019 - 9. Again, very good news that your knees and back for the moment
101020 - are not causing you pain.
101021 -
101027 -
101028 -
101030 - ..
1011 -
1012 -
1013 - 0935
1014 -
101401 - Pain Management Degenerative Arthritis Prognosis Patient Worried
101402 - Patient Worried Prognosis Pain Management Degenerative Arthritis
101403 -
101404 - Robin called. She was crying again during the call, similar to the
101405 - call on 120718 1842, ref SDS 14 MI5I, worrying about prospects for
101406 - recovering from degenerative arthritis, and sciatica pain from neck
101407 - and spine disorders that cause pain in her legs and knees.
101409 - ..
101410 - She received the letter submitted late last night, shown above.
101411 - ref SDS 0 MI5I
101413 - ..
101414 - This morning, Robin expressed strong interest in meeting with Doctor
101415 - Darrow about getting prolotherapy. She requested assistance arranging
101416 - a meeting with the doctor at his offices in Los Angeles. This
101417 - implements planning in the the letter to Robin this morning, per
101418 - above. ref SDS 0 RL4W
101419 -
101420 - [...below on 120728 0027 Robin plans to resume Glucosamine
101421 - Chondroitin to evaluate pain relief from degenerative
101422 - arthritis. ref SDS 0 0288
101424 - ..
101425 - [...below on 120728 0027 at 1102 received letter from Robin
101426 - confirming request to schedule meeting to investigate
101427 - treatment with prolotherapy for relieving chronic pain due
101428 - to degenerative arthritis. ref SDS 0 FG6N
101430 - ..
101431 - Robin advised her understanding that Doctor Ongely in Ensenada Mexico
101432 - has a proprietary formulation of prolotherapy. She explained again
101433 - personal experience getting this treatment in her mid-20s, and to
101434 - recover from neck and spine disorders. This confirms prior
101435 - understandings from Robin's letter on
101437 - ..
101438 - Robin said this morning that she does not want assistance meeting
101439 - Doctor Lawler on Tuesday, 120730. She did not say why other than that
101440 - Doctor Lawler speaks summarily and so does not answer medical
101441 - questions well. Robin, however, said she plans to write down
101442 - questions for the doctor to answer during the meeting, noted
101443 - previously in her letter on 120727 0912. ref SDS 19 HC6Y
101445 - ..
101446 - Robin did not explain this morning that she will obtain medical
101447 - records from Doctor Lawler's offce for review of her patient history,
101448 - and for submission to Doctors Schueckler and Fow to prepare 2nd
101449 - opinions. Previously, Robin said she would obtain medical records,
101450 - reported on 120725 1208, ref SDS 17 CM3V, essential for effective 2nd
101451 - opinon review and for case management.
101453 - ..
101454 - Robin advised during the call today that Doctor Lawler is an imporant
101455 - customer for the radiology company where she works. Robin wants to
101456 - avoid pressuring Doctor Lawler about complications causing chronic
101457 - pain following knee surgery on 120322, reported in the record on
101458 - 120718 1842, ref SDS 14 MI5I, and in order to maintain good business
101459 - relations with the Lawler account at her company.
101461 - ..
101462 - This sounds like Paula's report on Kaiser refusing to demand that UCSF
101463 - correct medical mistakes performing radiation therapy for Millie, and
101464 - in order to maintain good business relations, reported on 091112 1229.
101465 - ref SDS 4 A593
101467 - ..
101468 - Critical question for Doctor Lawler with respect to Robin's
101469 - entitlement to recover for complications from knee surgery on 120322,
101470 - causing continuing pain is obtaining Lawler's medical records to
101471 - substantiate Robin's report that the doctor disclosed Robin's knee
101472 - pain may be due to not removing enough torn cartilage during surgery
101473 - on 120322, shown in the record on 120727 0912. ref SDS 19 PS36
101475 - ..
101476 - Another objective meeting with Lawler is to obtain referral and/or
101477 - entry into the medical chart work plan referral for treatment with
101478 - prolotherapy, cited in the letter to Robin this morning, ref SDS 0
101479 - RL4W, and discussed with Robin in the call today, per above.
101480 - ref SDS 0 QQ8H
101481 -
101482 - [On 120729 1705 Robin called and indicated plans to ask
101483 - Lawler for a referral to get prolotherapy to aid recovery
101484 - from degenerative arthritis. ref SDS 21 3Y9H
101486 - ..
101487 - Robin wants assistance for the meeting with Doctor Schueckler next
101488 - Thursday on 120802 at 1545, and also reported in her letter on 120727
101489 - 0912, ref SDS 19 VH6J, and reported previously on 120726 0753,
101490 - ref SDS 18 N755, and clarifying Robin's letter on 120725 1208.
101491 - ref SDS 17 N755
101493 - ..
101494 - This begs the question that the main assistance Doctor Schueckler
101495 - needs is Robin's medical record of care performed by Doctor Lawler,
101496 - and which at this point has not been requested, and there is now not
101497 - enough time to assemble the record and submit to Doctor Schueckler
101498 - with enough time to be prepared for a productive meeting with Robin on
101499 - 120802.
101500 -
101512 -
101514 - ..
101515 - Doctors Schueckler and Lawler Doctor Patient Relationship
101516 -
101517 - Robin advised today during this call that Doctor Lawler had knee
101518 - surgery performed by Doctor Schueckler on 120323, the day after Doctor
101519 - Lawler performed the same type of arthroscopic knee surgery on Robin's
101520 - knee on 120322. Accordingly, they are professional colleagues and
101521 - possibly personal friends. This relationship conflicts with
101522 - requirements for objective review of Doctor Lawler's work in a 2nd
101523 - opinion prepared by Doctor Schueckler, answering question on 120725
101524 - 1208. ref SDS 17 BR4J
101525 -
101526 -
101527 - <1L8M
101528 - <1L8M
101529 - Pain Right Knee Subsides Never Suffered Pain Left Knee
101530 - Glucosamine Chondroitin Tried 2 Weeks Without Effect False Negative
101531 -
101532 - Robin advised this morning that when she took prescirbed dose of
101533 - Glucosamine Chondroitin for 2 weeks, after delivery following the
101534 - order from Costco on 120516 1048. ref SDS 7 E99F
101536 - ..
101537 - She stopped taking this remedy because knee pain continued, which
101538 - seemed to indicate lack of response to treatment.
101540 - ..
101541 - Robin will try Glucosamine Chondroitin again, based on current theory
101542 - that knee and leg pain may be due to sciaticia, reported in her letter
101543 - on 120727 0912, ref SDS 19 UV4J, and cited in the letter to her above.
101544 - ref SDS 0 RL4J
101546 - ..
101547 - Robin advised again this morning that pain in right knee has subsided
101548 - lately, and that she has not experienced pain in her left knee. This
101549 - aligns with her recent letter on 120727 0912. ref SDS 19 YC9V
101550 -
101551 - [On 120729 1705 Robin called again and expressed worry
101552 - about future knee disorders causing severe pain, and desire
101553 - to take proactive remedial care with prooltherapy and
101554 - Glucosamine Chondroitin with exercise to reduce
101555 - degenerative artiritis diagnosed in recent MRI tests, and
101556 - despite not suffering pain in left knee, and pain in right
101557 - knee having recently subsided. ref SDS 21 Q74Q
101559 - ..
101560 - She feels now that pain management requires remedy for both neck and
101561 - spine disorders causing pain from sciaticia, and also pain caused by
101562 - degenerative arthritis in her knees, shown by recent MRI reports,
101563 - cited in the record on 120727 0912. ref SDS 19 QY4J
101565 - ..
101566 - Glucosamine Chondroitin is a good, immediate first remedy for
101567 - degenerative arthritis and possibly spinal disorders, and followed by
101568 - inquiry into treatment with prolotherapy, discussed with Robin today,
101569 - per above. ref SDS 0 QQ8H
101570 -
101571 - [...above on 120728 0027 at 0935 Robin called and requested
101572 - assistance arranging meeting with Doctor Darrow in Los
101573 - Angeles on providing prolotherapy to help recover from
101574 - degenerative arthritis in her knees. ref SDS 0 QQ8H
101576 - ..
101577 - [...below on 120728 0027 at 1102 received letter from Robin
101578 - confirming request to schedule meeting to investigate
101579 - treatment with prolotherapy for relieving chronic pain due
101580 - to degenerative arthritis. ref SDS 0 FG6N
101581 -
101582 -
101583 -
101584 -
101586 - ..
1016 -
1017 -
1018 - 1102
1019 -
101901 - Received letter from Robin saying...
101902 -
101903 - 1. Subject: Prolotherapy
101904 - Date: Sat, 28 Jul 2012 10:27:02 -0700 (PDT)
101911 - ..
101912 - Please watch the video on the website showing prolotherapy
101913 - injections of the knee. I seriously want to see Dr Darrow,
101914 - go for a consultation with the prospect of getting these
101915 - injections. The woman in the video is approx my age and was
101916 - diagnosed with arthritis in both of her knees...
101918 - ..
101919 - Robin confirms in her letter a request during her call earlier this
101920 - morning for help arranging to meet Doctor Darrow for considering
101921 - treatment with prolotherapy to recover from degenerative arthritis,
101922 - per above. ref SDS 0 QQ8H
101924 - ..
101925 - Robin's letter on 120728 0027 at 1102 continues...
101926 -
101927 - 2. Marc Darrow, M.D - Prolotherapy
101928 -
101929 - http://www.getprolo.com/darrow_california_prolotherapy.htm
101931 - ..
101932 - Marc Darrow, M.D.
101933 - Darrow Wellness Institute
101934 - 11645 Wilshire Blvd.,Suite 120.
101935 - Los Angeles, CA 90025.
101936 - CALL: (310) 231-7000
101937 -
101938 - http://www.jointrehab.com.
101940 - ..
101941 - 3. See you Thursday :)
101942 -
101943 - *********************************
101945 - ..
101946 - Received 2 other letters which intend to transmit additional
101947 - electronic media, but which failed to actually attach or otherwise
101948 - convey anything.
101949 -
101950 -
101951 -
101952 -
101953 -
101954 -
101955 -
101956 -
101957 -
101958 -
1020 -