CONTACTS
SUBJECTS
VA Podiatry Review Metatarsalgia Pain Balls of Feet Enable Physical
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 44 0000. ref SDS 40 0000.
040502 -
040503 - *******************************************************
040504 - ********** Content Prior Record Begins Here ***********
040505 - *******************************************************
040506 -
040507 -
040508 -
040509 -
040511 - ..
0406 -
0407 -
0408 - Background
0409 -
040901 - Meeting Doctor Tang in Podiatry on 140805 1030. ref SDS 26 NU4G
040902 - Progress Notes for meeting on 140805, call for return to clinic after
040903 - receiving FFO. ref SDS 26 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 34 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 37 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 37 4M3H
040920 - ..
040921 - On 150115 0845 meeting with Doctor Tang and Doctor Goodman, the doctor
040922 - ordered a 2nd set of orthotic inserts to recover from and prevent
040923 - recurrance of metatarsalgia. ref SDS 43 BG6I
040924 -
040925 -
040926 -
040927 -
040929 - ..
0410 -
0411 -
0412 - Progress
0413 -
041301 - Agenda...
041302 -
041303 - 1. Examine feet for dryness caused by dehydration due to
041304 - medications explained in case study on 140101
041306 - ..
041307 - Discussed with Doctor Simpson in Cardiology on 151014 0900.
041308 - ref SDS 45 9G44
041310 - ..
041311 - Dehydration causing blisters reported on 150809, in case study
041312 - on 140101 0600. ref SDS 6 GH3G
041313 -
041315 - ..
041316 - 2. Treat blisters and calluses both feet.
041318 - ..
041319 - Reported good results using Geri-Hydraulic 12 (Ammonium Lactate 12%)
041320 - lotion prescribed by Doctor Tang on 141021 1411. ref SDS 41 H24G More
041321 - recently, Doctor Simpson in Cardiology, and based on personal
041322 - experience, recommended Burt's Bees foot lotion to prevent and resolve
041323 - blisters, reported on 151014 0900. ref SDS 45 7H6O
041325 - ..
041326 - Examination today shows these remedies have not been completely
041327 - successful.
041329 - ..
041330 - Doctor Tang cut the blisters and calluses down on big toes both feet.
041332 - ..
041333 - He applied a thin plastic adhesive wrap today for the big toe on both
041334 - toes. He wants to try this to prevent shear from causing further
041335 - blister problems.
041337 - ..
041338 - These wrappings should be cut in half so that one unit is enough for
041339 - both big toes. This is an experiment to see if they will stay in
041340 - place during hikes and prevent blisters.
041342 - ..
041343 - The doctor provided interim supply, and placed order for pharmacy to
041344 - ship regular supplies.
041345 -
041347 - ..
041348 - Agenda continues...
041349 -
041350 - 3. Little toe and toe next to little toe on left foot only.
041351 -
041352 - Using cuffs on these toes for long hikes.
041353 -
041355 - ..
041356 - 4. Metatarsalgia - Prolab orthotic inserts, ibuprofen medication,
041357 - and Thorlo socks, all prescribed by Doctor Tang at the VA, and
041358 - further combined with Hoka Stinson Lite shoes have, since the
041359 - end of October, 2014, restored ability to hike 11 miles per
041360 - day, 300 miles per month, including 22 miles per day on
041361 - consecutive days, shown in the agenda for the meeting submitted
041362 - with the letter on 150113 1049. ref SDS 42 F497
041364 - ..
041365 - Past month or so, e.g., on 151024, have increased hikes to 15
041366 - miles per day, shown in case study on exercise, diet,
041367 - medication and vitals on 140101 0600. ref SDS 6 A26M
041369 - ..
041370 - Doctor Tang asked about hills/inclines?
041372 - ..
041373 - The 11 mile route has 2 long hills. On clockwise route 1st hill is
041374 - about .75 miles. The 2nd hill is slighty steeper and only .5 miles.
041375 - Additional 4 mile loop on 15 mile hikes has 2 more hills: 1st hill is
041376 - about 1 mile and steeper than hills on 11 mile route; the 2nd hill is
041377 - only about .4 miles, but steeper than 1st hill.
041379 - ..
041380 - Agenda continues...
041381 -
041382 - Mileage spreadsheet shows Podiatry has worked well the past
041383 - year...
041384 -
041385 - F:\05\00003\SM\CC\BNKG\120216cc\130101cc\hiking_miles_3.xlsx
041387 - ..
041388 - Date Miles Minutes Source
041389 - Jan................... 242 3687 ...... ref SDS 6 TSYW
041390 - Feb................... 256 3941 ...... ref SDS 6 VYVP
041391 - Mar................... 189 2941 ...... ref SDS 6 WUTU
041392 - Apr................... 240 3698 ...... ref SDS 6 XVVR
041393 - May................... 230 3485 ...... ref SDS 6 PPXS
041394 - June.................. 233 3571 ...... ref SDS 6 QZ6J
041395 - July.................. 230 3559 ...... ref SDS 6 RSVY
041396 - August................ 142 2241 ...... ref SDS 6 SVPP
041397 - September............. 212 3658 ...... ref SDS 6 TVQP
041398 - October............... 323 5337 ...... ref SDS 6 TVQP
041399 - November.............. 77 398
041401 - ..
041402 - Totals 2395 36878 average 15.7 minutes per mile
041403 -
041405 - ..
041406 - 5. Why does left foot cause continual problems metatarsalgia and
041407 - right foot never hurts, shown by example on 151011, in case
041408 - study patient history on 140101 0600. ref SDS 6 Z86F
041410 - ..
041411 - Doctor Tang suspects the left leg is for some reason now longer than
041412 - the right leg.
041413 -
041415 - ..
041416 - Agenda continues...
041417 -
041418 - 6. Good news - past week or so, metatarsalgia left foot has been
041419 - less severe, reported most recently 2 days ago on Wednesday,
041420 - 151111, in case study. ref SDS 6 WUWU
041421 -
041422 - Over the past 3 years, after starting longer hikes of 11 miles
041423 - per day, 300 miles per month have noticed following health
041424 - improvements...
041425 -
041426 - 1. HDL 30 increased to 70, enabling regression of
041427 - atherosclerosis, shown by CCTA radiology study on 151019
041428 - finding bypass grafts patent, ref SDS 46 8Q6I, 6 years
041429 - after CABG +4 performed on 091022 0700. ref SDS 1 PQWU
041431 - ..
041432 - 2. Strength and vitality have increased living daily life.
041434 - ..
041435 - 3. Pain in neck and shoulders has subsided, no long occurs.
041437 - ..
041438 - 4. Pain in lower back has subsided, no long occurs.
041440 - ..
041441 - 5. Pain in left hip has subsided, no long occurs.
041443 - ..
041444 - 6. Pain tail bone on standing up after sitting for more than
041445 - a few minues on hard surface, no longer occurs.
041447 - ..
041448 - 7. Pain no longer occurs from degenerative arthritis left knee
041449 - caused by surgery that removed cartilage to recover from
041450 - 40' fall in pump station in 1973, and provided patient
041451 - takes Glucosamine Chondroitin before 11 mile hikes, and
041452 - before and after 15 mile hikes.
041453 -
041455 - ..
041456 - 7. Have there been any new designs or treatment theories for
041457 - orthopedics that prevent and resolve feet injuries from
041458 - extended endurance exercise?
041460 - ..
041461 - Doctor Tang made referral to podiatry specialist.
041463 - ..
041464 - The front desk may have made a mistake scheduling the meeting with
041465 - Doctor Tang instead of the specialist.
041466 -
041467 - Date/Time: Tuesday 15 Dec 2015 0845
041468 - Clinic: Podiatry Tang, Follow up
041469 - Location: Building 200 Ground Floor Module 3
041470 - Telephone: 415 379 5673
041471 - Provider: Tang, Robert E
041473 - ..
041474 - Did not notice the name when the schedule clerk submitted the letter
041475 - dated today.
041476 -
041477 -
041479 - ..
0415 -
0416 -
0417 - 2202
0418 -
041801 - Sent letter to Doctor Tang saying...
041802 -
041803 - 1. Subject: Podiatry Meeting Today 13 Oct 2015 1130 Reporting Excellent Results
041804 - Date: 2015-11-13 22:27
041812 - ..
041813 - 2. Thanks for helpful meeting, shown in the record today.
041814 - ref SDS 0 AK6J
041816 - ..
041817 - 3. Please note the clerk at the Module 3 counter scheduled a
041818 - meeting on 151215 0845 with you, and not with the specialist
041819 - you discussed during the meeting. ref SDS 0 TV7K
041821 - ..
041822 - 4. I'll call on Monday to make further inquiries with the
041823 - Scheduling team.
041825 - ..
041826 - 5. I need the name of specialist doctor.
041828 - ..
041829 - 6. Thanks again for great support.
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0419 -