CONTACTS
SUBJECTS
Knee Injury ER Examination Xray Favorable Right Recurrance Hiking Se
2203 -
2203 - ..
2204 - Summary/Objective
2205 -
220501 - Follow up ref SDS 33 0000. ref SDS 31 0000.
220502 -
220503 -
220504 -
220505 -
220507 - ..
2206 -
2207 -
2208 - Progress
2209 -
220901 - Background on prescribing Supartz to recover from osteoarthritis/
220902 - degneerative arthritis in right knee is listed in the record meeting
220903 - with Doctor Dang in Orthopedics on 161212 1632. ref SDS 28 K05I
220905 - ..
220906 - First injection with Supartz was performed on 170123 1530. ref SDS 30
220907 - LL5N
220909 - ..
220910 - Second injection with Supartz was last week on 170130 1410.
220911 - ref SDS 33 LL5N
220913 - ..
220914 - Today, is the 3rd and final injection of this 1st treatment cycle.
220916 - ..
220917 - Arrived at VA about 1030. Checked in at Module #2 for Orthopedic
220918 - treatment with Synvisc at 1530. Gave cellphone number to Megan. She
220919 - will tell Gina, the Orthopedics provider, to call if treatment can be
220920 - given earlier than scheduled for 1530 today.
220921 -
220923 - ..
2210 -
2211 -
2212 - 1100
2213 -
221301 - Went to 2nd floor for blood draw, reported in another record today on
221302 - 170206 1100. ref SDS 34 IM9N Saw Gina in the hallway in front of the
221303 - lab. She wants to do the Supartz injection for right knee OA 1230.
221304 -
221305 -
221307 - ..
2214 -
2215 -
2216 - 1230
2217 -
221701 - Went to Module #2, and waited for Gina to come into patient waiting
221702 - room.
221703 -
221705 - ..
2218 -
2219 -
2220 - 1240
2221 -
222101 - Gina came out and we went to an examination room.
222102 -
222103 - Explained patient history after 2nd Supratz injection last Monday on
222104 - 170130 1410. ref SDS 33 LL5N
222105 -
222106 - Hiking case study on 160101 0700.
222107 - 6 miles...................... 170131, ref SDS 10 Y84F
222108 - 6 miles...................... 170203, ref SDS 10 XF6L
222109 - 10 miles...................... 170204, ref SDS 10 3R3M
222110 - 3 miles...................... 170205, ref SDS 10 QC6G
222112 - ..
222113 - Minor pain for 1st hike on 170131.
222114 - Max pain level 2 going downhill only 10% 2nd hike on 170203.
222115 - Pain level 5 flat then 0 going uphill about 20% 3rd hike on 170204
222116 - Pain level 0 entir hike going fast up and down hills 4th hike on 170205
222118 - ..
222119 - Gina commented that patient history of extended endurance exercise
222120 - hiking 11 - 15 miles per day the past 5 years is very high compared to
222121 - other patients treated with Supartz. This aligns with Doctor Dang's
222122 - comments during the meeting when Supartz was prescribed on 161212
222123 - 1632. ref SDS 28 5U8L
222124 -
222125 - [On 170314 0930 in Podiatry Doctor Tang drew a graph
222126 - showing patient hiking profile is off the charts for other
222127 - patients. ref SDS 35 Q56F
222129 - ..
222130 - After reviewing patient history showing initial favorable response to
222131 - treatment, signed consent to be treated with 3rd and final injection
222132 - of Supartz for 6 month trial.
222134 - ..
222135 - Gina used the 3rd box of Supartz, obtained from the Pharmacy for the
222136 - 1st injection, reported, 170123 1530, ref SDS 30 LL5N
222138 - ..
222139 - The 3rd injection was for...
222140 -
222141 - Inject 25 mg (2.5 ML)
222142 - Inter-articular every week on the same day.
222143 - RX 6409712
222145 - ..
222146 - Hyalurnate NA 10MG/ML INJ 2.5ML Syringe
222148 - ..
222149 - This injection was painless and fast, like the 2nd last Monday on
222150 - 170130 1410. ref SDS 33 LL5N
222152 - ..
222153 - Gina seemed to indicate maximum protection from pain during exercise
222154 - with Supartz treatment occurs about week 5 or 6, and will continue for
222155 - many patients from 6 - 12 months.
222157 - ..
222158 - If treatment fails prior to 6 months, notify Doctor Dang in
222159 - Orthopedics for consideration of alternatives.
222161 - ..
222162 - After 6 months, patient can get another 3 injections.
222164 - ..
222165 - Thanked Gina again for great care.
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