CONTACTS
SUBJECTS
VA Podiatry Review Metatarsalgia Pain Balls of Feet Enable Physical
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 69 0000. ref SDS 59 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040507 -
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040509 -
040510 -
040512 - ..
0406 -
0407 -
0408 - Background
0409 -
040901 - Meeting Doctor Tang in Podiatry on 140805 1030. ref SDS 36 NU4G
040902 - Progress Notes for meeting on 140805, call for return to clinic after
040903 - receiving FFO. ref SDS 36 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 44 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 9 BO6F
040914 - ..
040915 - On 140904 0900 meeting with Doctor Cynthia Lieu and Doctor Tang,
040916 - attending. ref SDS 47 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 47 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 52 BG6I
040925 - ..
040926 - On 151215, met with Doctor Hewitson in Podiary. ref SDS 58 AK6J He
040927 - modified the Prolab orthotic inserts applied with Hoka Stinson Lite
040928 - shoes size 10 worn today, and for the purpose of improving routine
040929 - walking gait. ref SDS 58 9B6I Observation of walking tests, and
040930 - placing the doctor's hands on the patient's hips while standing to
040931 - evaluate body alignment, indicated to Doctor Hewitson that this
040932 - initial modification did not correct defect in walking gait, so he
040933 - removed that modification and instead raised the heel of the left
040934 - orthotic. ref SDS 58 NC7M
040936 - ..
040937 - Doctor Hewitson said to bring in the other pair of orthotic inserts on
040938 - the next meeting in Podiatry for adding modifications that make both
040939 - pair the same. ref SDS 58 1J98
040941 - ..
040942 - On 151215 1000 Progress Notes explain modifications to orthotics -
040943 - Improved gait by decreasing early heel off L, increased L knee
040944 - extension, and decreased R recurvatum. ref SDS 59 ZA9I
040946 - ..
040947 - On 151215, Doctor Hewitson and his team made molds of the feet to make
040948 - new orthodic inserts. They will be shipped in a few weeks. When new
040949 - orthotics are received, notify VA to schedule follow with Doctor
040950 - Hewitson to review effectiveness, and to make modifications as needed,
040951 - and as done on 151215.
040953 - ..
040954 - On 151215 1000 Progress Notes confirm follow up meeting will occur
040955 - after receiving orthotic inserts. ref SDS 59 PK6L
040957 - ..
040958 - On 140101 0600 case study reporting on 151222, developed new blister
040959 - on left side little toe left foot, possibly related to changed
040960 - orthotics. ref SDS 15 IE9O
040962 - ..
040963 - On 160202 1540 reported injury to right knee, very painful; Doctor
040964 - Tang recommended not using adjusted orthotic inserts, until meeting
040965 - with Doctor Hewitson in Podiatry Biomechanics can evaluate adjustments
040966 - to avoid right knee injury. ref SDS 65 WG59
040968 - ..
040969 - On 160325 0443 letter to VA notifies Doctor Tang that orthotic inserts
040970 - ordered by Doctor Hewitson on 151215, have been received, so meeting
040971 - can be scheduled for Doctor Hewitson to configure the new inserts,
040972 - ref SDS 66 AK6J, as planned by the doctor during the prior meeting on
040973 - 151215. ref SDS 58 HM8J
040975 - ..
040976 - On 160503 1130 encountered Doctor Hewitson in the cafeteria; he agreed
040977 - to provide care after lunch at 1300 in Podiatry. 160503 1256,
040978 - ref SDS 69 9A34
040980 - ..
040981 - On 160503 1300 meeting Doctor Hewitson in Podiatry. Since this
040982 - meeting was ad hoc, we did not have the 3 sets of orthotic inserts
040983 - which he planned to modify, shown in the record on 151215 1000.
040984 - ref SDS 58 1J98 Scheduled another meeting on 160516, for Doctor
040985 - Hewitson to improve alignment of ankles, knees and hips. 160503 1256,
040986 - ref SDS 69 TN94
040987 -
040988 -
040989 -
040991 - ..
0410 -
0411 -
0412 - Progress
0413 -
041301 - Meeting with Doctor Hewitson and his team of medical students, planned
041302 - in the meeting on 160503 1256. ref SDS 69 JQ44
041304 - ..
041305 - Brought 3 pair orthotic inserts for meeting.
041307 - ..
041308 - The doctor examined the orthotic inserts and removed prior
041309 - adjustments which had caused right knee MCL injury.
041311 - ..
041312 - Doctor Hewitson also submitted 2 sets of spongy inserts to provide
041313 - better cushioning in the shoes that prevents injury to feet and knees.
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