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: September 10, 2014 03:53 PM Wednesday; Rod Welch

VA Podiatry receive orthotic inserts treatment metatarsalgia.

1...Summary/Objective


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CONTACTS 

SUBJECTS
VA Podiatry Review Metatarsalgia Pain Balls of Feet Enable Physical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
0403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0403 -    ..
0404 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
0405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040501 - Follow up ref SDS 36 0000. ref SDS 33 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040507 -  ..
0406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0408 - Background                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
0409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040901 - Meeting Doctor Tang in Podiatry on 140805 1030. ref SDS 25 NU4G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040902 - Progress Notes for meeting on 140805, call for return to clinic after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040903 - receiving FFO. ref SDS 25 IJ4G  A few days after meeting on 140805,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
040904 - received letter from VA scheduling follow meeting today on 140820                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040905 - 1000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040907 -  ..
040908 - On 140828 meeting with Doctor Kevin Daun and later with Doctor Mihara,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040909 - attending developed solution to blister on inside of big toe on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040910 - foot, ref SDS 33 W74O, that required stopping 11 mile hike after 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
040911 - miles and calling for a ride home, shown in case study on 120101 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040912 - ref SDS 2 BO6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040914 -  ..
040915 - On 140904 0900 meeting with Doctor Cynthia Lieu and Doctor Tang,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040916 - attending. ref SDS 36 AK6J  Doctor Tang said orthotics can be trimed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
040917 - to fit a smaller shoe size, if necessary; he has scheduled a meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040918 - after orthotics inserts are received. ref SDS 36 4M3H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040922 -  ..
0410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0412 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041301 - Today, Fed Ex delivered...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
041302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041303 -     From:  Angel Hernandez                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
041304 -            Prolab Orthotics                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
041305 -            575 Airpark Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
041306 -            Napa, CA  94558                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
041308 -      ..
041309 -     To:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
041314 -      ..
041315 -     Tracking number............................ 6061 3561 8320                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
041317 -  ..
041318 - Inside the box are two (2) orthotic shoe inserts, i.e., 1 pair - left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041319 - and right foot inserts.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
041321 -  ..
041322 - There is also a brochure....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
041323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041324 -        1.  Prolab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041325 -            Orthotics                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041326 -            Evidence-based Medicine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041327 -            Benefits of Prolab Orthotics                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
041329 -             ..
041330 -        2.  Wearing orthotics improves the quality of life for many                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041331 -            people.  Depending on your specific condition, orthotics                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041332 -            can correct or accomodate certain foot motion to:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
041333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041334 -            1.  Relieve pain, enabling you to stand, walk, or run for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041335 -                longer periods of time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041337 -                 ..
041338 -            2.  Prevent or protect against injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041340 -                 ..
041341 -            3.  Reduce pressure in key areas for increased comfort.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041343 -             ..
041344 -        3.  These custom medical devices were made specifically for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041345 -            your feet to ensure that your medical needs are being                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
041346 -            accomodated.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
041348 -             ..
041349 -        4.  Wearing Prolab Orthotics                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041351 -             ..
041352 -            Your custom orthotics were designed to improve your body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041353 -            movement and function.  It takes time for your body to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041354 -            adapt to these changes.  Mild aches or discomfort may occur                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041355 -            initially in your feet, ankles, hips or back.  If symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041356 -            persist after initial break-in period, contact your doctor.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041358 -             ..
041359 -            When used properly, orthotics can provide many years of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041360 -            comfort and support.  The following guidelines will assist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041361 -            you in wearing and caring for your Prolab orthotics.  Check                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041362 -            with your doctor for any special instructions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
041363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041364 -            1.  Place the orthotic in the correct shoe (there is a left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041365 -                and right orthotic).  Make sure that it fits securely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041366 -                in the heel.  You may need to remove the insoles from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041367 -                your shoes before positioning the orthotics.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
041369 -                 ..
041370 -            2.  Wear your orthotics for only 1 -2 hours the first two                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041371 -                days.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041373 -                 ..
041374 -            3.  Add an hour each day until you can comfortably wear                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041375 -                your orthotics all day.  The break-in period may differ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041376 -                from person to person.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041378 -                 ..
041379 -            4.  If your orthotics pinch, cause blisters, or if you                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041380 -                experience great discomfort, stop wearing them and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041381 -                contact your doctor.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041384 -  ..
041385 - On the bottom of both inserts is the following...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041392 -  ..
041393 - VASF seems like "VA San Francisco."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041395 -  ..
041396 - This seems to complete the order isued by Doctor Tang on 140805 1030.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041397 - ref SDS 25 1F31                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041399 -            [On 150115 0845 ordered 2nd pair Prolab orthotic inserts.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
041400 -            ref SDS 39 BG6I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
041401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041402 -            [On 150207 0845 received 2nd set Prolab orthotic inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
041403 -            ordered on 150115, by Doctor Tang in Podiatry Department VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041404 -            Medical Center in San Francisco. ref SDS 40 AK6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
0415 -