CONTACTS
SUBJECTS
Orthopedics Examination Diagnose Right Knee MCL Tear 150326 Re-injur
3003 -
3003 - ..
3004 - Summary/Objective
3005 -
300501 - Follow up ref SDS 8 0000. ref SDS 6 0000.
300502 -
300503 -
300504 -
300505 -
300507 - ..
3006 -
3007 -
3008 - Progress
3009 -
300901 - On 160418, visitied VA Orthopedics and met with Doctor Patrick Curran,
300902 - with Doctor Alexis Dang attending, who has experience with sports
300903 - medicine. ref SDS 8 SN98
300905 - ..
300906 - At that time on 160418, Doctor Curran ordered metal brace for the
300907 - right knee, ref SDS 8 QJ4H, which he feels will be more effective than
300908 - Futuro brace purchased from CVS on 160413 1500. ref SDS 7 A57V
300910 - ..
300911 - On 160509 1400 during follow up meeting at Orthopedics the doctor said
300912 - that the Prosthetics Department is still working on the knee brace.
300913 - ref SDS 10 IQ6J
300915 - ..
300916 - Today, on the way walking from ROI on the 1st floor, to the Cafeteria
300917 - on the ground floor, just beyond the doorway leading to stairs for
300918 - descending to the ground floor, noticed a sign saying...
300919 -
300920 - Orthopedics Prosthetics
300922 - ..
300923 - Went into this department and met Natalie, reported in aother record
300924 - today on 160516 1710. ref SDS 13 SR5K
300926 - ..
300927 - She found the order entered by Doctor Curran on 160418 for a brace on
300928 - the right knee. ref SDS 8 QJ4H Natalie said to wait while she
300929 - prepares to measure the knee to build the brace.
300931 - ..
300932 - Explained there is a meeting scheduled with Doctor Hewitson with
300933 - Biomechanics in Podiatry at 0830.
300935 - ..
300936 - Natalie said measuring for the knee brace will only take 5 minutes.
300938 - ..
300939 - After she completed this, she noticed the Futuro ankle braces.
300940 - Natalie asked how they are working?
300942 - ..
300943 - Explained the ankles are really okay. The braces are intended to hold
300944 - wound dressing in place while hiking to enable Achilles' tendon injury
300945 - to heal and to protect against recurrence, explained in the record on
300946 - 160514 1145. ref SDS 11 G15O
300948 - ..
300949 - Natalie asked how well the Futuro ankle brace accomplishes this
300950 - requirement?
300952 - ..
300953 - Related exparience this morning, where could not walk 100 yards,
300954 - before it failed, reported in another record this morning on 160516
300955 - 0631. ref SDS 12 QT7J
300957 - ..
300958 - Natilie removed both shoes and examined Futuro knee braces purchased
300959 - from CVS on 160514 1145. ref SDS 11 FA6N
300961 - ..
300962 - She went to storage cabinets, and showed knee brace the VA provides
300963 - to patients. These have laces and several strappings that appeared
300964 - to provide more secure positioning that would prevent the braces from
300965 - changing position with movement, as occurred this morning.
300967 - ..
300968 - Since time was short, asked about returning after meeting in Podiatry
300969 - with Doctor Hewitson.
300971 - ..
300972 - Natilie agreed. She said the Prosetics Department can only issue
300973 - ankle braces or other devices on a doctor's order.
300975 - ..
300976 - Explained would like to try on these VA ankle braces to evaluate, and
300977 - if they seem effective, will then try to find a doctor to place an
300978 - order. This is odd, because the braces are not needed for the ankles,
300979 - except to secure wound dressing in place. Not sure if anyone in Wound
300980 - Care can order these ankle braces for that purpose.
300982 - ..
300983 - Natalie said to return after meeting with Podiatry and she will
300984 - faciliate trying on the ankle braces and discuss who might place an
300985 - order.
300986 -
300988 - ..
3010 -
3011 -
3012 - 1105
3013 -
301301 - After meeting in Podiatry Biomechanics for past few hours, where
301302 - Doctor Hewitson entered an order for ankle braces, returned to
301303 - Orthopedics Prosthetics Department.
301305 - ..
301306 - Natalie was helping another customer. Another person on the staff
301307 - assisted. He found the order Doctor Hewitson placed for ankle braces
301308 - during the meeting Podiatry Biomechanics the past few hours, since
301309 - meeting with Natalie this morning, per above. ref SDS 0 5T6G
301311 - ..
301312 - The staff person measured the ankles and decided size "large" might
301313 - work best.
301315 - ..
301316 - He applied the braces. It turned out the size "large" was a good fit.
301318 - ..
301319 - That's all there was to it. This took about 10 minutes.
301321 - ..
301322 - Returned to Podiatry for Doctor Hewitson and the Biomechanics team to
301323 - assess effect of ankle braces on corrected gait problems, and modify
301324 - the ankle braces accordingly.
301326 - ..
301327 - Walking 100+ yards in the new ankle braces provided by VA there was no
301328 - feeling the back panel moved up, nor bunched up the sock. On reaching
301329 - the Podiatry Department, Doctor Hewitson and the Biomechanics team
301330 - evaluated affect of the ankle braces to correct walking gait problems
301331 - observed this morning, that resulted in the doctor ordering ankle
301332 - braces from the VA, per above. ref SDS 0 PQ8F The team concluded the
301333 - ankle braces made substantial improvement in patient biomechanics.
301335 - ..
301336 - After this, removed the shoes and found the ankle braces had remained
301337 - place. There was no movement of the braces, nor the socks, nor the
301338 - underlying Hydrofera Blue dressing.
301340 - ..
301341 - This record supports using VA ankle braces to replace Futuro knee
301342 - braces purchased from CVS on 160514 1145. ref SDS 11 FA6N
301343 -
301344 - [On 140101 0600 ankle brace provided by VA worked well on
301345 - left foot during entire 9 mile hike - held dressing in
301346 - place to protect wound on Achilles' tendon; both braces
301347 - together feel good - seem more stable. ref SDS 1 UTVT
301348 -
301349 -
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301351 -
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301356 -